Individual provider Active NPI

Angela Diane Giudice - Mafaro, MS, ED BCBA LBA

  • Behavior Analyst
  • Staten Island, NY
National Provider Identifier
1295097392
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
003232 Issued in NY
Practice address
389 Thornycroft Ave
Staten Island, NY 10312-5138
Phone
(718) 227-3891
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY
Behavior Analyst 103K00000X 003232 NY Primary

Addresses

Primary practice location

389 Thornycroft Ave
Staten Island, NY 10312-5138

Mailing address

389 Thornycroft Ave
Staten Island, NY 10312-5138
Phone (718) 227-3891

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1295097392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 THORNYCROFT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125138",
            "telephone_number": "718-227-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 THORNYCROFT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125138",
            "telephone_number": "718-227-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUDICE - MAFARO",
        "first_name": "ANGELA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MS, ED BCBA  LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "003232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.