1235797424 NPI number — MS. NOREEN ANNE CINOTTI MS.ED ABA THERAPIST

Table of content: MS. NOREEN ANNE CINOTTI MS.ED ABA THERAPIST (NPI 1235797424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235797424 NPI number — MS. NOREEN ANNE CINOTTI MS.ED ABA THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CINOTTI
Provider First Name:
NOREEN
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS.ED ABA THERAPIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235797424
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40 HILLSIDE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAHWAH
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07430-1846
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-960-9662
Provider Business Mailing Address Fax Number:
201-529-2064

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1300 HUDSON ST APT A1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOBOKEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07030-5543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-960-9662
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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