National Provider Identifier

Diana Petruzzella, LBA

Diana Petruzzella, LBA is listed in the NPPES registry with a primary specialty of Behavior Analyst in Lackawanna, NY and a listed phone number of (716) 828-7586.

NPI 1114898681Lackawanna, NYBehavior Analyst

Profile Overview

NPI
1114898681
Provider Type
Individual
Primary Specialty
Behavior Analyst
Enumeration Date
September 16, 2025
Last Updated
December 04, 2025

Practice Location

  • 790 Ridge RD Fl 2
  • Lackawanna, NY 14218-1629

Phone: (716) 828-7586

Specialties

  • Behavior Analyst (103K00000X)
Full Record
NPI
1114898681
Entity Type
Individual
Last Name
Petruzzella
First Name
Diana
Credential
LBA
Mailing Street Address
790 Ridge RD Fl 2
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1629
Mailing Country
US
Mailing Phone
(716) 828-7586
Mailing Fax
(716) 828-7589
Practice Street Address
790 Ridge RD Fl 2
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 828-7586
Practice Fax
(716) 828-7589
Enumeration Date
September 16, 2025
Last Updated
December 04, 2025
Sex
Female
Sole Proprietor
No
Certification Date
December 04, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Behavior Analyst (103K00000X)