Provider Demographics
NPI:1568161438
Name:ZARCARO, ELISE ANN (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:ANN
Last Name:ZARCARO
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PHENIX RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-1522
Mailing Address - Country:US
Mailing Address - Phone:401-480-8698
Mailing Address - Fax:
Practice Address - Street 1:16 PHENIX RIDGE DR
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-1522
Practice Address - Country:US
Practice Address - Phone:401-480-8698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILBA00341103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst