Active NPI
Melissa Andretta, BCBA
- Behavior Analyst
- Melville, NY
National Provider Identifier
1306236336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-03-1217
- Practice address
- 14 Rassmussen PL
Melville, NY 11747-1528 - Phone
- (631) 875-8146
- NPI assigned
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-03-1217 | NY | Primary |
Addresses
Primary practice location
14 Rassmussen PL
Melville, NY 11747-1528
Mailing address
14 Rassmussen PL
Melville, NY 11747-1528
Phone (631) 875-8146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-03-1217 | Other | NY | BEHAVIOR ANALYST CERTIFCATION BOARD |
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": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1306236336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RASSMUSSEN PL",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117471528",
"telephone_number": "631-875-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RASSMUSSEN PL",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117471528",
"telephone_number": "631-875-8146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRETTA",
"first_name": "MELISSA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1-03-1217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFCATION BOARD",
"identifier": "1-03-1217",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.