Healthcare Provider Details

I. General information

NPI: 1134711807
Provider Name (Legal Business Name): LORRAINE PALLADINO BCBA, LBA-CT, NY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RAINE PALLADINO BCBA, LBA-CT, NY

II. Dates (important events)

Enumeration Date: 02/04/2021
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SOUTH ST UNIT 90
DANBURY CT
06810-3105
US

IV. Provider business mailing address

10 SOUTH ST UNIT 90
DANBURY CT
06810-3105
US

V. Phone/Fax

Practice location:
  • Phone: 917-502-6426
  • Fax:
Mailing address:
  • Phone: 917-502-6426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2279
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: