Active NPI
Jennifer Kate Yanazzo, M.ED, BCBA/LBA
- Behavior Analyst
- Halfmoon, NY
National Provider Identifier
1528311693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000408
- Practice address
- 23 Sitterly Rd
Halfmoon, NY 12065 - Phone
- (518) 899-9235
- Fax
- (518) 899-9315
- NPI assigned
- Oct 26, 2012
- Last updated
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1-09-5912 | NY | |
| Behavior Analyst | 103K00000X | 000408 | NY | Primary |
Addresses
Primary practice location
23 Sitterly Rd
Halfmoon, NY 12065
Mailing address
23 Sitterly Rd.
Clifton Park, NY 12065
Phone (518) 899-9235
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jyanazzo@newmeadow.org | Direct |
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 Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newmeadow, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Clifton Park, NY
- NPI 1831342963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1528311693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SITTERLY RD.",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "12065",
"telephone_number": "518-899-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SITTERLY RD",
"city": "HALFMOON",
"state": "NY",
"postal_code": "12065",
"telephone_number": "518-899-9235",
"fax_number": "518-899-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANAZZO",
"first_name": "JENNIFER",
"middle_name": "KATE",
"credential": "M.ED, BCBA/LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1-09-5912",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000408",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jyanazzo@newmeadow.org",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "23 Sitterly Rd",
"city": "Halfmoon",
"state": "NY",
"country_code": "US",
"postal_code": "12065",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Halfmoon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.