Individual
LISA MARIE VERZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
350 STATE ST, NORTH HAVEN, CT 06473-3108
(203) 498-6862
Mailing address
38 KNOLLWOOD DR, BRANFORD, CT 06405-3914
(203) 314-0039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
864
CT
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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