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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS MICHELLE MARY FAZZOLARI, MS ED.

Active Sole Proprietor

MISS MICHELLE MARY FAZZOLARI, MS ED. is a Behavior Analyst healthcare provider located in WILLISTON PARK, New York. NPI 1417381088 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · WILLISTON PARK, NY

Registration Details

NPI Number
1417381088
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2013 (12.812712192749 yrs)
Last Updated
Aug 30, 2013
Licenses
473873369 (NY)
473873369 (NY)
Sole Proprietor
Yes

Practice Information

Address
436 WILLIS AVE
WILLISTON PARK, NY, 115962298
Browse NY providers · Browse ZIP 11596
Phone
5162330144
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Specialist

Other Behavior Analyst Providers in WILLISTON PARK, NY

Name Credential NPI
JENNIFER KOURASSANIS-VELASQUEZ BCBA 1134553316
CHRISTINE VANNI 1255755567
CASEY FARRELL 1457779340
JANINE MARIE URIBE M.A.S 1497174171
ELAINA KALANTZOPOULOS 1396138905
PHILIP CAIROLI M.A., BCBA, LBA 1700234572
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.