Individual
JOHN JOSEPH BARISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
209 PATRICIA RD, MADISON, AL 35758-1416
(256) 541-2827
(256) 828-8872
Mailing address
209 PATRICIA RD, MADISON, AL 35758-1416
(256) 541-2827
(256) 828-8872
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1538
NC
251S00000X
Community/Behavioral Health Agency
1538
NC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1538
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083655773
—
NC
05
—
6107232
—
NC
Enumeration date
06/16/2016
Last updated
12/26/2018
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