Kristine Loccisano, MPS;BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1000686 Issued in NY

Practice address

189 Wheatley Rd
Glen Head, NY 11545-2641

Phone

(516) 626-1075

NPI assigned

Sep 22, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1265715650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 WHEATLEY RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452641",
            "telephone_number": "516-626-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 WHEATLEY RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452641",
            "telephone_number": "516-626-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCCISANO",
        "first_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MPS;BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1000686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda S. Lamarca, PH.D.
• Samantha Sasha Lindo, FNP
• Stewart Lipner, PHD
• Shira Leah Lippman, DDS
• Lisa a. Cavanaugh, M.D., P.C.
• Long Island Chiropractic P.C.
• Brandi Lopinto, OT
• Gail Irene Lowenstein, M.D.
• Peter Anthony Lucchese, DDS
• Carolyn Macchia, MS.ED

• Behavior Analyst in Glen Head, NY
• Providers in Glen Head, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.