Individual
LISA MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
855 WATERMAN AVE STE D, EAST PROVIDENCE, RI 02914-1700
(401) 219-1351
Mailing address
855 WATERMAN AVE STE D, EAST PROVIDENCE, RI 02914-1700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA000392
RI
Other
Enumeration date
10/30/2023
Last updated
06/06/2024
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