Provider Demographics
NPI:1932509338
Name:PARISE, GINA (BCBA)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:
Last Name:PARISE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 MERRYMOUNT DR
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-5520
Mailing Address - Country:US
Mailing Address - Phone:401-578-0366
Mailing Address - Fax:
Practice Address - Street 1:109 OAK ST
Practice Address - Street 2:G 10
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02464-1492
Practice Address - Country:US
Practice Address - Phone:617-467-4038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst