Individual
LISA OUIMET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
59 INTERSTATE DR STE 3, W SPRINGFIELD, MA 01089-5100
(774) 206-1125
Mailing address
305 STATE ST, BELCHERTOWN, MA 01007-9810
(774) 236-8586
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3340
MA
Other
Enumeration date
12/12/2016
Last updated
11/19/2025
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