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

Tiago Fonseca Lizardo

Individual provider Behavior Technician · NPI 1972289908

Tiago Fonseca Lizardo is a Behavior Technician in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2023.

Licensed in
RI
In the registry since
2023

Practice location Address checks out

10 Dorrance St Ste 700
Providence, RI 02903
Phone: (877) 418-2978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (RI)

Record details

NPI number1972289908
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 24, 2023

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