Sara Balassone, BCBA

Individual provider Active NPI Behavior Analyst · Warwick, RI

NPI 1972195014 · NPPES record last updated Feb 10, 2021

Key facts

NPI
1972195014
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-20-45302 (NJ)
Practice address
2348 Post Rd
Warwick, RI 02886-2258
Phone
(401) 681-4637
NPI assigned
Feb 10, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-45302 NJ Yes

Addresses

Primary practice location

2348 Post Rd
Warwick, RI 02886-2258

Mailing address

32 Brentwood Dr
Verona, NJ 07044-2519
Phone (973) 747-9804

Other providers in Warwick, RI

All providers in Warwick, RI · Behavior Analyst in Rhode Island

Sources for this page

Verify at the official NPI Registry.