Provider Demographics
NPI:1770077042
Name:RIDOLFI, CINDY LEE
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:LEE
Last Name:RIDOLFI
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 1:169 UNION ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-2622
Mailing Address - Country:US
Mailing Address - Phone:774-315-8217
Mailing Address - Fax:
Practice Address - Street 1:141 PARK ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3020
Practice Address - Country:US
Practice Address - Phone:508-226-1445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst