Provider Demographics
NPI:1154672996
Name:PERNA, CATHERINE DANIELLE (MA, CAS, BCBA)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:DANIELLE
Last Name:PERNA
Suffix:
Gender:F
Credentials:MA, CAS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 VESTAL PARKWAY
Mailing Address - Street 2:BINGHAMTON UNIVERSITY
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850
Mailing Address - Country:US
Mailing Address - Phone:607-777-2829
Mailing Address - Fax:
Practice Address - Street 1:4400 VESTAL PARKWAY
Practice Address - Street 2:BINGHAMTON UNIVERSITY
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850
Practice Address - Country:US
Practice Address - Phone:607-777-2829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY947616991174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist