Individual
TAMARA LERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
306 LEDGE RD, DAYVILLE, CT 06241-1908
(860) 334-9083
Mailing address
306 LEDGE RD, DAYVILLE, CT 06241-1908
(860) 334-9083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10077
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-12-10077
BCBA
CT
Enumeration date
03/27/2012
Last updated
03/27/2012
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