Provider Demographics
NPI:1548610488
Name:FERRARI BEHAVIORAL AND ADVOCACY SERVICES
Entity Type:Organization
Organization Name:FERRARI BEHAVIORAL AND ADVOCACY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRARI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:860-985-4205
Mailing Address - Street 1:285 COLEBROOK RIVER RD
Mailing Address - Street 2:
Mailing Address - City:COLEBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06021-4214
Mailing Address - Country:US
Mailing Address - Phone:860-985-4205
Mailing Address - Fax:
Practice Address - Street 1:285 COLEBROOK RIVER RD
Practice Address - Street 2:
Practice Address - City:COLEBROOK
Practice Address - State:CT
Practice Address - Zip Code:06021-4214
Practice Address - Country:US
Practice Address - Phone:860-985-4205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11415349251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health