Individual provider · NPI-1

Mindy Jeanne Cassano, M.S., BCBA, LBA

Behavior Analyst · Islandia, NY

NPI number1053700864
StatusActive
Last updated in NPPESJul 3, 2017

Details

NPI
1053700864
Entity type
Individual (NPI-1)
Name
Mindy Jeanne Cassano
Credential
M.S., BCBA, LBA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 16, 2015
Last updated
Jul 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst71000611NYYes

Practice location

1737 Veterans Memorial Hwy
Islandia, NY 11749-1529

Phone 631-872-6435

Mailing address

27 Ruth Pl
North Babylon, NY 11703-4912

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