Individual
SARAH LESSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 FARMINGTON AVE, FARMINGTON, CT 06032-1916
(860) 674-1824
Mailing address
230 FARMINGTON AVE, FARMINGTON, CT 06032-1916
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5295
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-09-5295
BACB
MA
Enumeration date
01/21/2014
Last updated
01/21/2014
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