Larissa Lertola, BCBA

NPI #1720577232 in Chicago, Illinois

Provider Information

NPI Number: 1720577232
Entity Type: Individual
Name: Larissa Lertola, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Credential: BCBA
Enumeration Date: May 9, 2018
Last Updated: Apr 7, 2025

Practice Location

Address: 8609 W BRYN MAWR AVE STE 204
City: Chicago
State: Illinois
ZIP Code: 60631-3524
Phone: (773) 726-1416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary
Behavior Analyst	103K00000X

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