Healthcare Provider Details

I. General information

NPI: 1942164439
Provider Name (Legal Business Name): LISA ZINN TUZ BCBA CTLBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 FLANDERS RD
BETHLEHEM CT
06751-2208
US

IV. Provider business mailing address

165 FLANDERS RD
BETHLEHEM CT
06751-2208
US

V. Phone/Fax

Practice location:
  • Phone: 203-586-9785
  • Fax:
Mailing address:
  • Phone: 203-586-9785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number337
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: