Rachel Lindsay Antonucci, MA, BCBA, LBA
Behavior Analyst in Massapequa, NY. Individual provider (NPI-1).
NPI number1679388425
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1679388425
- Entity type
- Individual (NPI-1)
- Name
- Ms. Rachel Lindsay Antonucci
- Credential
- MA, BCBA, LBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2025
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 003783 | NY | Yes |
Practice location
4250 Sunrise Hwy Ste 106Massapequa, NY 11758-5352
Phone 516-640-0798
Mailing address
65 Buttonwood DrDix Hills, NY 11746-4804
Phone 631-579-8395
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