Provider Demographics
NPI:1801336367
Name:FERRANTI, SIF (BCBA)
Entity type:Individual
Prefix:
First Name:SIF
Middle Name:
Last Name:FERRANTI
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 1:40 PORTER RD
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2430
Mailing Address - Country:US
Mailing Address - Phone:781-910-3678
Mailing Address - Fax:
Practice Address - Street 1:40 PORTER RD
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-2430
Practice Address - Country:US
Practice Address - Phone:781-910-3678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1-14-16784103K00000X
MA000001663103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst