Provider Demographics
NPI:1104577246
Name:RESOR, NATALIA (BCBA)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:RESOR
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 INDUSTRIAL WAY STE 15
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-6202
Mailing Address - Country:US
Mailing Address - Phone:603-686-9638
Mailing Address - Fax:
Practice Address - Street 1:35 INDUSTRIAL WAY STE 15
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-6202
Practice Address - Country:US
Practice Address - Phone:518-524-0154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst