Marcella Johanna Andrade

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

P09985 Issued in NY

Practice address

1449 37TH St Ste 300
Brooklyn, NY 11218-4380

Phone

(718) 215-5311

NPI assigned

Apr 20, 2018

Last updated

Jun 11, 2019By the provider in NPPES

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

Other identifiers 2

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1467949859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 OLD COMMACK RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543508",
            "telephone_number": "631-507-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 37TH ST STE 300",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184380",
            "telephone_number": "718-215-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "MARCELLA",
        "middle_name": "JOHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "P09985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED",
            "identifier": "P09985",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "11623792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrissandra M. Andra, MA, MS, LCSW, SIFI
• Natasha Andrabi, MD
• Anna Henrietta Andrade Martinez
• Andrea Cristina Andrade, B.S.W.
• Justin Andrade, PHARMD
• Michelle Andrade, M.D.
• Arthur A Andrawes
• Maryan Andrawis
• Amanda Andre Fernandez, DDS
• Belzie Andre

• Behavior Analyst in Brooklyn, NY
• Providers in Brooklyn, 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 Jun 11, 2019; 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.