Individual
LISA ESPOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
296 W RIDGE PIKE, LIMERICK, PA 19468-1790
(270) 777-9283
(270) 777-9283
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000436
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH000436
LBA LICENSE
PA
Enumeration date
03/17/2016
Last updated
03/17/2016
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