Provider Demographics
NPI:1619728920
Name:RIPTON, TRISHA D
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:D
Last Name:RIPTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 TIMBER TRL
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-3254
Mailing Address - Country:US
Mailing Address - Phone:860-933-8658
Mailing Address - Fax:
Practice Address - Street 1:535 BLISS RD
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1540
Practice Address - Country:US
Practice Address - Phone:413-565-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician