Active NPIIndividual provider

Cassidy G Distefano

Behavior Analyst in Staten Island, New York

NPI Number1437756152
Practice location
112 Travis Ave, Staten Island, NY 10314-6217
Fax
—
Last updated
October 6, 2020

Cassidy G Distefano is a Behavior Analyst based in Staten Island, NY. Cassidy G Distefano practices in Staten Island, NY. The NPI Number for Cassidy G Distefano is 1437756152. The current practice location address for Cassidy G Distefano is 112 Travis Ave, Staten Island, NY 10314-6217 and can be reached out via phone at 516-281-4018.

Provider Profile Details

NPI Number
1437756152
Provider Name
Cassidy G Distefano
Provider Entity Type
Individual
Gender
Female
Address
112 Travis Ave, Staten Island, NY 10314-6217
Phone Number
516-281-4018
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Other Names
Cassidy G Distefano-Tata (Other Name)
Provider Enumeration Date
October 6, 2020
Last Update Date
October 6, 2020
Certification Date
October 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Travis Ave
Staten Island, NY 10314-6217
Zip
10314-6217
Phone Number
516-281-4018
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
112 Travis Ave
Staten Island, NY 10314-6217
City
Staten Island
State
NY
Zip
10314-6217

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cassidy G Distefano?

The NPI number of Cassidy G Distefano is 1437756152. It was assigned on October 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Cassidy G Distefano?

Cassidy G Distefano is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Cassidy G Distefano practice?

The practice location is 112 Travis Ave, Staten Island, NY 10314-6217. The office can be reached at 516-281-4018 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437756152 directly on the NPPES registry website.

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