Individual provider · Type 1 NPI
Andrea Christine Themistocleous, MSED, BCBA
Specialist · Centereach, NY
NPI number
1114289691
Active
Practice location
86 Smith Ln
Centereach, NY 11720-3874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-07-3692 (NY) |
| Specialist Primary | 174400000X | 1752785 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1114289691
Andrea Christine Themistocleous, MSED, BCBA's National Provider Identifier is 1114289691, issued on Jun 12, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Centereach, NY. The record was last updated on Jun 12, 2012.