Casey Farrell
Individual provider Active NPI Behavior Analyst · Williston Park, NY
NPI 1457779340 · NPPES record last updated Mar 29, 2014
Key facts
- NPI
- 1457779340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 436 Willis Ave Ste 3
Williston Park, NY 11596-2298 - Phone
- (516) 741-0729
- NPI assigned
- Mar 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Learning Loft ABA Services, PLLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
436 Willis Ave Ste 3
Williston Park, NY 11596-2298
Mailing address
1 Fern Dr
Commack, NY 11725-4107
Other providers in Williston Park, NY
- Evelyn Kuntz LCSW PC
- Evero Corporation
- Neil A Falasca
- Jeannie Fan
- Katie Fariello
- Angelina Fazio
- Michelle Mary Fazzolari
- Nina Elena Fedirko-Gonzalez
- Rosanna Felicione
- Fern Baudo Adult Health Nurse Practitioner PC
All providers in Williston Park, NY · Behavior Analyst in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.