Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larissa Lertola, BCBA

Individual provider Technician/Technologist · NPI 1720577232

Larissa Lertola, BCBA is a Technician/Technologist in Chicago, Illinois. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
3
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

8609 W Bryn Mawr Ave Ste 204
Chicago, IL 60631-3524
Phone: (773) 726-1416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 44225 W 12 Mile Rd Ste C-106, Novi, MI 48377-2640 — (248) 277-3005

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401002764 (MI)
Technician/Technologist Taxonomy 156F00000X
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1720577232
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedMay 9, 2018
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address44225 W 12 Mile Rd Ste C-106, Novi, MI 48377-2640

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