DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIAGO FONSECA LIZARDO

Active

TIAGO FONSECA LIZARDO is a Behavior Technician healthcare provider located in PROVIDENCE, Rhode Island. NPI 1972289908 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · PROVIDENCE, RI

Registration Details

NPI Number
1972289908
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2023 (3.1489411886496 yrs)
Last Updated
Jun 26, 2023

Practice Information

Address
10 DORRANCE STREET STE 700
PROVIDENCE, RI, 02903
Browse RI providers · Browse ZIP 02903
Phone
8774182978
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in PROVIDENCE, RI

Name Credential NPI
KENDRA J FHON 1023525599
ELIZABETH MARTINELLI 1124527924
SAWPAKA PHOTHISEN 1508365347
ERIN KISSINGER 1083113781
NATHANYLE PINE 1356840052
REBECCA SHAFER BCAT 1982103685
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.