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Individual

LARISSA PITRAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
120 IMPERIAL AVE, BENNINGTON, VT 05201-2440
(321) 616-9772
Mailing address
120 IMPERIAL AVE, BENNINGTON, VT 05201-2440
(321) 616-9772

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
004814
NY
103K00000X
Behavior Analyst
1-25-80363
AZ
103K00000X
Behavior Analyst
Primary
146.0134444
VT
103K00000X
Behavior Analyst
BEH-001964
AZ

Other

Enumeration date
11/26/2018
Last updated
06/15/2026
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