Giovanni Dimas
Individual provider Active NPI Behavior Analyst · Jackson HTS, NY
NPI 1811355191 · NPPES record last updated Feb 2, 2016
Key facts
- NPI
- 1811355191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 3316 87TH St
Jackson HTS, NY 11372-1677 - Phone
- (929) 258-6315
- NPI assigned
- Feb 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
3316 87TH St
Jackson HTS, NY 11372-1677
Mailing address
3316 87TH St
Jackson HTS, NY 11372-1677
Phone (929) 258-9315
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- Bladimir Cortez
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- Joseph J Faillace
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All providers in Jackson HTS, NY · Behavior Analyst in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.