Provider Demographics
NPI:1215617667
Name:THIRINGER, LAURA (BCBA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:THIRINGER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:PARISI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:64 MAPLE PL
Mailing Address - Street 2:
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-1316
Mailing Address - Country:US
Mailing Address - Phone:732-241-2704
Mailing Address - Fax:
Practice Address - Street 1:64 MAPLE PL
Practice Address - Street 2:
Practice Address - City:KEYPORT
Practice Address - State:NJ
Practice Address - Zip Code:07735-1316
Practice Address - Country:US
Practice Address - Phone:732-241-2704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-18-31542103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst