Individual provider · NPI-1

Dr. Justin Discalfani, Ph.D., BCBA-D

Psychologist, Clinical · Babylon, NY

NPI number1326452368
StatusActive
Last updated in NPPESAug 6, 2015

Details

NPI
1326452368
Entity type
Individual (NPI-1)
Name
Dr. Justin Discalfani
Credential
Ph.D., BCBA-D
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 18, 2014
Last updated
Aug 6, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical020656NYYes
103K00000X Behavior Analyst000010NY

Practice location

206 E Main St
2nd Floor
Babylon, NY 11702-3598

Phone 631-793-7127

Mailing address

4 Windmill Ct
Smithtown, NY 11787-2224

Phone 631-793-7127

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