1578807467 NPI number — DR. CINDY JOYCE ALTERSON PH.D., BCBA

Table of content: DR. CINDY JOYCE ALTERSON PH.D., BCBA (NPI 1578807467)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578807467 NPI number — DR. CINDY JOYCE ALTERSON PH.D., BCBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALTERSON
Provider First Name:
CINDY
Provider Middle Name:
JOYCE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., BCBA
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:
1578807467
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14 SCHUMAN RD
Provider Second Line Business Mailing Address:
DEVEREUX MILLWOOD LEARNING CENTER
Provider Business Mailing Address City Name:
MILLWOOD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10546-1111
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-941-1991
Provider Business Mailing Address Fax Number:
914-941-2852

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14 SCHUMAN RD
Provider Second Line Business Practice Location Address:
DEVEREUX MILLWOOD LEARNING CENTER
Provider Business Practice Location Address City Name:
MILLWOOD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10546-1111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-941-1991
Provider Business Practice Location Address Fax Number:
914-941-2852
Provider Enumeration Date:
11/16/2012

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 , with the licence number:  1-00-0002 ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 014560 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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