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NPI Code Detail

MEDICARE: CHRISTINA FERRARI BCBA, LBA

MEDICARE: CHRISTINA FERRARI BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst990CT

General Provider Information

NPI Number : 1194335562
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA FERRARI BCBA, LBA
Provider Business Mailing Address
First Line : 30 BUXTON FARM RD STE 105
Second Line :
City : STAMFORD
State : CT
Zip : 06905-1210
Country : US
Telephone Number : 203-674-8200
Fax Number : 203-674-8202
Provider Business Practice Location Address
First Line : 30 BUXTON FARM RD STE 105
Second Line :
City : STAMFORD
State : CT
Zip : 06905-1210
Country : US
Telephone Number : 203-674-8200
Fax Number : 203-674-8202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2020
Last Update Date : 07/31/2020

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