Individual
LARISSA PITRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12409 W INDIAN SCHOOL RD STE B210, AVONDALE, AZ 85392-9505
(855) 223-7123
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-25-80363
AZ
103K00000X
Behavior Analyst
Primary
BEH-001964
AZ
Other
Enumeration date
11/26/2018
Last updated
11/03/2025
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