Nichole Cartagena

Individual provider Active NPI Behavior Analyst · Mamaroneck, NY

NPI 1114495231 · NPPES record last updated Nov 6, 2018

Key facts

NPI
1114495231
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
375018543 (NY)
Practice address
126 Library LN
Mamaroneck, NY 10543-3608
Phone
(914) 670-1155
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
375018543NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Autism and Related Disorders LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 375018543 NY Yes

Addresses

Primary practice location

126 Library LN
Mamaroneck, NY 10543-3608

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Mamaroneck, NY

All providers in Mamaroneck, NY · Behavior Analyst in New York

Sources for this page

Verify at the official NPI Registry.