Individual
KARISSA CARDOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 CLEVELAND STREET, APT 1, WOONSOCKET, RI 02895
(401) 543-7448
Mailing address
36 CLEVELAND ST APT 1, WOONSOCKET, RI 02895-5315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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