Provider Demographics
NPI:1215393392
Name:MARCHESE, ADRIENNE (BCABA)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:MARCHESE
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 OXFORD CT
Mailing Address - Street 2:APT 7914
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7934
Mailing Address - Country:US
Mailing Address - Phone:845-558-4811
Mailing Address - Fax:
Practice Address - Street 1:8 OXFORD CT
Practice Address - Street 2:APT 7914
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-7934
Practice Address - Country:US
Practice Address - Phone:845-558-4811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst