Individual provider · Type 1 NPI
Consuelo Da Costa
Child Intellectual and/or Developmental Disabilities Respite Care · Northport, NY
NPI number
1780550889
Active
Practice location
77 Waterside Ave
Northport, NY 11768-2149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
About NPI 1780550889
Consuelo Da Costa's National Provider Identifier is 1780550889, issued on Oct 15, 2025. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Northport, NY. The record was last updated on Oct 15, 2025.