Individual
LIZA MARIE IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 SOCKANOSSET CROSS RD # 100, CRANSTON, RI 02920-5529
(401) 409-2608
Mailing address
6060 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1907
(178) 155-5013
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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