Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003307018 |
---|---|
Provider Name | Ms. Krysta Aria Sbriscia |
First Address | Holyoke, MA 01040-1662 |
Second Address | Holyoke, MA 01040-1662 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2018 |
Last Update Date | 24/05/2018 |