Individual
LIA TERESA GAMBARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
33 PERRY AVE, ATTLEBORO, MA 02703-2417
(508) 455-6200
Mailing address
8 CRANBERRY RD, NORTH PROVIDENCE, RI 02911-2502
(401) 477-4478
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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