Amanda Adragna

Individual provider Active NPI Behavior Analyst · Kings Park, NY

NPI 1154700482 · NPPES record last updated May 19, 2015

Key facts

NPI
1154700482
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
46 Primrose LN
Kings Park, NY 11754-3929
Phone
(718) 744-8322
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

46 Primrose LN
Kings Park, NY 11754-3929

Mailing address

46 Primrose LN
Kings Park, NY 11754-3929
Phone (718) 744-8322

Other providers in Kings Park, NY

All providers in Kings Park, NY · Behavior Analyst in New York

Sources for this page

Verify at the official NPI Registry.