Provider Demographics
NPI:1336406941
Name:PARLATO, CRAIG S (MSED, BCBA)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:S
Last Name:PARLATO
Suffix:
Gender:M
Credentials:MSED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 CARLTON AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-6310
Mailing Address - Country:US
Mailing Address - Phone:401-258-0307
Mailing Address - Fax:401-921-5435
Practice Address - Street 1:159 CARLTON AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-6310
Practice Address - Country:US
Practice Address - Phone:401-258-0307
Practice Address - Fax:401-921-5435
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst