Individual
ALLYSON KAPUSCINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 FERREIRA DR, TIVERTON, RI 02878-3329
(401) 864-0772
Mailing address
20 FERREIRA DR, TIVERTON, RI 02878-3329
(401) 864-0772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00336
RI
106S00000X
Behavior Technician
—
RI
Other
Enumeration date
01/04/2018
Last updated
12/20/2022
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