Lisa Brienza

Individual provider Active NPI Behavior Technician · Freeport, NY

NPI 1508395369 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1508395369
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
60 E Bedell St
Freeport, NY 11520-5723
Phone
(516) 241-3515
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

60 E Bedell St
Freeport, NY 11520-5723

Mailing address

60 E Bedell St
Freeport, NY 11520-5723
Phone (516) 241-3515

Other providers in Freeport, NY

All providers in Freeport, NY · Behavior Technician in New York

Sources for this page

Verify at the official NPI Registry.