Individual provider Active NPI

Cristiane Souza Bertone, BCBA

  • Behavior Analyst
  • Chestnut Ridge, NY
National Provider Identifier
1285017913
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000567 Issued in NY
Practice address
11 Tice CT
Chestnut Ridge, NY 10977-6710
Phone
(973) 951-1871
NPI assigned
Jun 30, 2015
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 000567 NY Primary

Addresses

Primary practice location

11 Tice CT
Chestnut Ridge, NY 10977-6710

Mailing address

11 Tice CT
Chestnut Ridge, NY 10977-6710
Phone (973) 951-1871

Other names 1

  • Ms. Cristiane Bernardi de Souza Bertone Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1285017913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TICE CT",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776710",
            "telephone_number": "973-951-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TICE CT",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776710",
            "telephone_number": "973-951-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA BERTONE",
        "first_name": "CRISTIANE",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTIANE",
            "last_name": "BERNARDI DE SOUZA BERTONE",
            "prefix": "MS.",
            "credential": "BBCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chestnut Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.