Individual
ALYSSA SORRENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LABA
Contact information
Practice address
1 SHORT ST, NORTHAMPTON, MA 01060-2567
(413) 517-0379
Mailing address
181 E DUGWAY RD, LENOX, MA 01240-2112
(413) 281-1491
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2392
MA
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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