Active NPI
Celenia Bonifacio, M.S. SPED
- Behavior Analyst
- Staten Island, NY
National Provider Identifier
1669735536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 38 Lewiston St
Staten Island, NY 10314-6228 - Phone
- (718) 962-5829
- NPI assigned
- Jun 16, 2012
- 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 | NY | Primary |
Addresses
Primary practice location
38 Lewiston St
Staten Island, NY 10314-6228
Mailing address
38 Lewiston St
Staten Island, NY 10314-6228
Phone (718) 962-5829
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339804800000",
"number": "1669735536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 LEWISTON ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146228",
"telephone_number": "718-962-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 LEWISTON ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146228",
"telephone_number": "718-962-5829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONIFACIO",
"first_name": "CELENIA",
"credential": "M.S. SPED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-16",
"last_updated": "2012-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.