Amendola, Alisa
Amendola, Alisa is an individual health care provider with primary practice located at 131 Boston Post Rd , East Lyme CT 06333-1605. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Amendola, Alisa can be contacted via phone (860) 333-5183.Contact Information
Primary practice address
131 Boston Post Rd
East Lyme CT 06333-1605
Phone: (860) 333-5183
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | Connecticut |
Profile Details
| NPI number | 1538882915 |
|---|---|
| LBN Legal business name | Amendola, Alisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2022 |
| Last updated | Sep 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538882915 | NPPES |
| Connecticut | MEDICAID | 1033666797 |
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