Most Relevant Information
Provider Data
| NPI Number: | 1003353681 |
| Provider Name: | LISA DIMERCURIO RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-16-26500 |
Most Important Dates
| Enumeration Date: | 01/20/2017 |
| Last Updated: | 01/20/2017 |
Provider Practice Location
800 FERRARI
SUITE 100
ONTARIO
CA
917645030
Practice Location Phone/Fax
| Phone: | 9094842848 |
| Fax: |
Provider Mailing Location
800 FERRARI
SUITE 100
ONTARIO
CA
917645030
Provider Mailing Phone/Fax
| Phone: | 9094842848 |
| Fax: |