Active NPI
Erin Dicesare, BCBA, LBA
- Behavior Analyst
- Churchville, NY
National Provider Identifier
1649865502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000009
- Practice address
- 20 Flinton Run
Churchville, NY 14428-9651 - Phone
- (585) 749-7415
- NPI assigned
- Mar 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 000009 | NY | Primary |
Addresses
Primary practice location
20 Flinton Run
Churchville, NY 14428-9651
Mailing address
20 Flinton Run
Churchville, NY 14428-9651
Phone (585) 749-7415
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000009 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1649865502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 FLINTON RUN",
"city": "CHURCHVILLE",
"state": "NY",
"postal_code": "144289651",
"telephone_number": "585-749-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 FLINTON RUN",
"city": "CHURCHVILLE",
"state": "NY",
"postal_code": "144289651",
"telephone_number": "585-749-7415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICESARE",
"first_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Churchville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.