Most Relevant Information
Provider Data
| NPI Number: | 1003320656 |
| Provider Name: | LISA COLBERT |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-13-12983 |
Most Important Dates
| Enumeration Date: | 11/17/2017 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
1100 NEW BRITAIN AVE STE 105
WEST HARTFORD
CT
061102448
Practice Location Phone/Fax
| Phone: | 8603107113 |
| Fax: |
Provider Mailing Location
1100 NEW BRITAIN AVE STE 105
WEST HARTFORD
CT
061102448
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |