Provider Demographics
NPI:1912511908
Name:LUZZI, OLIVIA (BCBA)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:LUZZI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:
Other - Last Name:OZYCZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:53 PARKER ST APT D409
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2496
Mailing Address - Country:US
Mailing Address - Phone:203-907-7752
Mailing Address - Fax:
Practice Address - Street 1:95 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:CT
Practice Address - Zip Code:06424-1146
Practice Address - Country:US
Practice Address - Phone:860-574-3138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-07
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
CT103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician