Camille Serrano, M.ED, ABA, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6080 Jericho Tpke
Commack, NY 11725-2850

Phone

(631) 383-6520

NPI assigned

Oct 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Business Administration, Master of Education

Practice roles

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.

• Abc Rainbow Corp.

  • Behavior Analyst
  • East Islip, NY
  • NPI 1043105463
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1235770728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 NEW JERSEY AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063302",
            "telephone_number": "631-383-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252850",
            "telephone_number": "631-383-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "CAMILLE",
        "credential": "M.ED, ABA, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVING LICENSE",
            "identifier": "461039",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Seiderman, MHC-LP
• Eric S. Seigel, P.A.- C, DFAAPA, PHD
• Madison Selesky
• Lynn Sepp, OTR/L
• Melissa Seron, OTR/L
• Nadia Serrano
• Carole W. Seymour, M.S.SLP
• Kalee Shah, MD
• Shakira Shanker, M.D.
• Elizabeth D. Shapiro, M.A.

• Behavior Technician in Commack, NY
• Providers in Commack, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.