Active NPIIndividual providerSole proprietor

Dr. Gina M Restivo, PSYD, BCBA-D, NCSP

Behavior Analyst in Bergenfield, New Jersey

NPI Number1568741676
Practice location
20 Pelham Pl, Bergenfield, NJ 07621-1613
Fax
—
Last updated
August 5, 2011

Gina Marie Restivo is a Behavior Analyst based in Bergenfield, NJ. Gina Marie Restivo practices in Bergenfield, NJ and has the professional credentials of PSYD, BCBA-D, NCSP. The NPI Number for Gina Marie Restivo is 1568741676 and holds a License No. 1-05-2413 (NJ). The current practice location address for Gina Marie Restivo is 20 Pelham Pl, Bergenfield, NJ 07621-1613 and can be reached out via phone at 551-486-9848.

Provider Profile Details

NPI Number
1568741676
Provider Name
Gina Marie Restivo
Credential
PSYD, BCBA-D, NCSP
Provider Entity Type
Individual
Gender
Female
Address
20 Pelham Pl, Bergenfield, NJ 07621-1613
Phone Number
551-486-9848
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 5, 2011
Last Update Date
August 5, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Pelham Pl
Bergenfield, NJ 07621-1613
Zip
07621-1613
Phone Number
551-486-9848
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
20 Pelham Pl
Bergenfield, NJ 07621-1613
City
Bergenfield
State
NJ
Zip
07621-1613
Phone Number
551-486-9848

License Information

License Number
1-05-2413
License State
NJ
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 Dr. Gina M Restivo, PSYD, BCBA-D, NCSP?

The NPI number of Dr. Gina M Restivo, PSYD, BCBA-D, NCSP is 1568741676. It was assigned on August 5, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Gina M Restivo, PSYD, BCBA-D, NCSP?

Dr. Gina M Restivo, PSYD, BCBA-D, NCSP is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-05-2413.

Where does Dr. Gina M Restivo, PSYD, BCBA-D, NCSP practice?

The practice location is 20 Pelham Pl, Bergenfield, NJ 07621-1613. The office can be reached at 551-486-9848 (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 1568741676 directly on the NPPES registry website.

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