Provider Demographics
NPI:1356002315
Name:ARGIENTO, JILLIAN BROOKE (BCBA)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:BROOKE
Last Name:ARGIENTO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 E 99TH ST APT 18
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6785
Mailing Address - Country:US
Mailing Address - Phone:646-599-6369
Mailing Address - Fax:
Practice Address - Street 1:169 E 99TH ST APT 18
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6785
Practice Address - Country:US
Practice Address - Phone:646-599-6369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst