Hailey N Mancuso

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2391 Issued in NY

Practice address

160 N Liberty Dr Ste 10
Stony Point, NY 10980-2450

Phone

(845) 267-0920

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Behavioral Services, LLC

  • Assistant Behavior Analyst
  • Kansas City, MO
  • NPI 1376870865
  NPD
• All Points Licensed Behavior Analysts, PLLC

  • Behavior Analyst
  • Hingham, MA
  • NPI 1700448313
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1508472036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NW VIVION RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184555",
            "telephone_number": "816-853-0946",
            "fax_number": "816-396-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N LIBERTY DR STE 10",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802450",
            "telephone_number": "845-267-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 NW Vivion Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641184555",
            "country_code": "US",
            "telephone_number": "816-853-0946",
            "fax_number": "816-396-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "HAILEY",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "2391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-20-133328",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelic Marie Levy, CCC-SLP
• Deirdre Ellen Lisewski, COTA
• Tara Lisewski
• Cherryl Plaza Logan, PT
• James D Lupi, D.C.
• Marianne K. Ansel Speech Pathology PC (MJM Speech Therapy Services)
• Joanne Ryan Martin, NP
• Kimiyo Matthews
• Paula Maunsell, MFT-I
• Debbie A McShane, RPH

• Behavior Analyst in Stony Point, NY
• Providers in Stony Point, 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 Aug 24, 2022; 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.