Healthcare Provider Details

I. General information

NPI: 1578985909
Provider Name (Legal Business Name): SARAH LESSARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2014
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 WESTFIELD RD
WEST HARTFORD CT
06119-1533
US

IV. Provider business mailing address

12 WESTFIELD RD
WEST HARTFORD CT
06119-1533
US

V. Phone/Fax

Practice location:
  • Phone: 617-571-7837
  • Fax:
Mailing address:
  • Phone: 617-571-7837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number442
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: