Active NPI
Amanda Delvecchio
- Behavior Analyst
- Mastic, NY
National Provider Identifier
1982165635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 17 Strafford St
Mastic, NY 11950-4510 - Phone
- (631) 317-9358
- NPI assigned
- Mar 26, 2019
- 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 | Primary |
Addresses
Primary practice location
17 Strafford St
Mastic, NY 11950-4510
Mailing address
17 Strafford St
Mastic, NY 11950-4510
Phone (631) 317-9358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103K00000X | Other | NY | A & J BEHAVIORAL HEALTH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1982165635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 STRAFFORD ST",
"city": "MASTIC",
"state": "NY",
"postal_code": "119504510",
"telephone_number": "631-317-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 STRAFFORD ST",
"city": "MASTIC",
"state": "NY",
"postal_code": "119504510",
"telephone_number": "631-317-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELVECCHIO",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "A & J BEHAVIORAL HEALTH",
"identifier": "103K00000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mastic, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.