Laurie Sue Denno, PHD

Individual provider Active NPI Behavior Analyst · Vineyard Haven, MA

NPI 1023659174 · NPPES record last updated Sep 30, 2019

Key facts

NPI
1023659174
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
591 (MA)
Practice address
186 W Spring St
Vineyard Haven, MA 02568-6310
Phone
(978) 902-0581
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X SINGLE SPECIALTY GROUP
103K00000X 591 MA Yes

Addresses

Primary practice location

186 W Spring St
Vineyard Haven, MA 02568-6310

Mailing address

186 W Spring St
Vineyard Haven, MA 02568-6310
Phone (978) 902-0581

Other providers in Vineyard Haven, MA

All providers in Vineyard Haven, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.