Brianna Rose Ponzini, BCBA

Individual provider Active NPI Behavior Analyst · Salt Point, NY

NPI 1598501033 · NPPES record last updated Aug 30, 2024

Key facts

NPI
1598501033
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-24-75312 (NY)
Practice address
58 Cottage Street
Salt Point, NY 12578
Phone
(845) 723-4616
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Early Interventions Licensed Behavior Analyst Ny PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-24-75312 NY Yes

Addresses

Primary practice location

58 Cottage Street
Salt Point, NY 12578

Mailing address

35 Flower Rd
Hopewell Junction, NY 12533-5934
Phone (914) 482-7032

Other providers in Salt Point, NY

All providers in Salt Point, NY · Behavior Analyst in New York

Sources for this page

Verify at the official NPI Registry.