Provider Demographics
NPI:1144601964
Name:GIORDANO-DONATI, CYNDI LAUREN (BCBA)
Entity Type:Individual
Prefix:
First Name:CYNDI
Middle Name:LAUREN
Last Name:GIORDANO-DONATI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:CYNDI
Other - Middle Name:LAUREN
Other - Last Name:GIORDANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA
Mailing Address - Street 1:143 STATE ROUTE 39
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-4202
Mailing Address - Country:US
Mailing Address - Phone:203-546-7457
Mailing Address - Fax:
Practice Address - Street 1:143 STATE ROUTE 39
Practice Address - Street 2:
Practice Address - City:NEW FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06812-4202
Practice Address - Country:US
Practice Address - Phone:203-546-7457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1-08-4667103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst