Individual
LISA FERRENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1000 BRIDGEPORT AVE STE 402, SHELTON, CT 06484-4669
(203) 494-3444
Mailing address
14 MOTT ST, ANSONIA, CT 06401-1930
(203) 494-3444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1295
CT
Other
Enumeration date
06/07/2018
Last updated
12/03/2021
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