Individual
ELIZABETH COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 VALLEY ST, PROVIDENCE, RI 02909-2400
(401) 228-8303
Mailing address
18 SUMMIT AVE, SEEKONK, MA 02771-3919
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00487
RI
Other
Enumeration date
06/16/2022
Last updated
08/06/2025
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