Active NPI
Mindy Jeanne Cassano, M.S., BCBA, LBA
- Behavior Analyst
- Islandia, NY
National Provider Identifier
1053700864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 71000611
- Practice address
- 1737 Veterans Memorial Hwy
Islandia, NY 11749-1529 - Phone
- (631) 872-6435
- NPI assigned
- Jan 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 71000611 | NY | Primary |
Addresses
Primary practice location
1737 Veterans Memorial Hwy
Islandia, NY 11749-1529
Mailing address
27 Ruth PL
North Babylon, NY 11703-4912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000611 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499040000000",
"number": "1053700864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 RUTH PL",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117034912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 VETERANS MEMORIAL HWY",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491529",
"telephone_number": "631-872-6435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSANO",
"first_name": "MINDY",
"middle_name": "JEANNE",
"credential": "M.S., BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-16",
"last_updated": "2017-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "71000611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.