Individual
DARRIE LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
642 BEECHWOOD AVE APT C, BRIDGEPORT, CT 06604-2367
(848) 466-3208
Mailing address
642 BEECHWOOD AVE APT C, BRIDGEPORT, CT 06604-2367
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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