1538592209 NPI number — MARY CATHERINE SENS-AZARA BCBA

Table of content: MARY CATHERINE SENS-AZARA BCBA (NPI 1538592209)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538592209 NPI number — MARY CATHERINE SENS-AZARA BCBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SENS-AZARA
Provider First Name:
MARY
Provider Middle Name:
CATHERINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1538592209
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/16/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 CRAIG RD
Provider Second Line Business Mailing Address:
CARING FAMILY COMMUNITY SERVVICES
Provider Business Mailing Address City Name:
MANALAPAN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07726-8735
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-780-2799
Provider Business Mailing Address Fax Number:
732-780-2899

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 CRAIG RD
Provider Second Line Business Practice Location Address:
CARING FAMILY COMMUNITY SERVVICES
Provider Business Practice Location Address City Name:
MANALAPAN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07726-8735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-780-2799
Provider Business Practice Location Address Fax Number:
732-780-2899
Provider Enumeration Date:
08/16/2013

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:  1-07-3928 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com