Kenneth Patrick Fusco, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

002466 Issued in NY

Practice address

354 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4331

Phone

(516) 220-1049

NPI assigned

Jun 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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.

• Can Licensed Behavior Analysis PC

  • Behavior Analyst
  • Commack, NY
  • NPI 1639923105
  NPD
• Kimberly Crocco Inc.

  • Behavior Analyst
  • Greenlawn, NY
  • NPI 1518630169
  NPD (past)

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1669048625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 REDMOND AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066810",
            "telephone_number": "631-968-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 VETERANS MEMORIAL HWY STE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254331",
            "telephone_number": "516-220-1049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 Blooming Grove Tpke",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "125537843",
            "country_code": "US",
            "telephone_number": "845-617-6265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "KENNETH",
        "middle_name": "PATRICK",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-44448",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare Marie Frisina, RN
• Krista Friszell, LCSW
• Amanda Kelly Fujarski, RN
• Amanda Marie Funcheon
• Elizabeth Jennifer Fusaro
• Ruth Tammi Gaines, MA,CCC
• Amy E Gallo
• Kristina M Galvin
• Heather Ganz, MS.ED.
• Linda Ganzenmuller, PSYD

• Behavior Analyst in Commack, NY
• Providers in Commack, 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 Jan 18, 2023; 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.