Cassidy G. Distefano

Behavior Analyst · Staten Island, NY

Individual Active NPI

NPI number 1437756152

Practice location

112 Travis Ave
Staten Island, NY 10314-6217
Phone
(516) 281-4018

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NPI record

NPI
1437756152
Entity type
Individual (Type 1)
Enumeration date
October 6, 2020
Last updated
October 6, 2020
Certified
October 6, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

About Cassidy Distefano

Cassidy G. Distefano is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 112 Travis Ave, Staten Island, NY 10314-6217. The NPI number 1437756152 was assigned on October 6, 2020 and the record was last updated on October 6, 2020.

Frequently asked questions

What is the NPI number of Cassidy G. Distefano?

The NPI number is 1437756152.

What is the phone number of Cassidy Distefano?

The phone number listed for the practice location is (516) 281-4018.

Where is Cassidy Distefano located?

112 Travis Ave, Staten Island, NY 10314-6217.

What is the taxonomy code for Cassidy Distefano?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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