KIMBERLY ROSE CROCCO (NPI# 1457728016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457728016 |
| Entity Type | Individual |
| Full Name | KIMBERLY ROSE CROCCO |
| Credential | BCBA |
| Practice Address |
10 Rainer St Melville NY 11747-1725 |
| Practice Telephone | 6318272410 |
| Mailing Telephone | 6318272410 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
10 RAINER ST |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770919011 | Maria Jeannine Ruggiere | Behavioral Analyst | 4 Cecil Court, Melville, NY 11747 | 2013-09-18 |
| 1851655138 | Amy Potruch-kaye | Behavioral Analyst | 24 Blueberry Ct, Melville, NY 11747-4223 | 2012-07-01 |
| 1386905214 | Timothy Lee | Behavioral Analyst | 5 Yorkville Ln, Melville, NY 11747-1232 | 2012-06-07 |
| 1508472879 | Ria Bissoon | Behavioral Analyst | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-09-21 |
| 1265044606 | Shahrukh Leghari | Behavioral Analyst | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-08-18 |
| 1932718012 | Waleed Elder | Behavioral Analyst | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2020-07-24 |
| 1497399810 | Laurianne Lerandy | Behavioral Analyst | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2019-10-29 |
| 1699317180 | Kristin Fayad | Behavioral Analyst | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-10-16 |
| 1659929297 | Ashley Linehan | Behavioral Analyst | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-08-27 |
| 1205495983 | Esther Bakaev | Behavioral Analyst | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2019-06-06 |
| Find all providers in MELVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.