Provider Demographics
NPI:1407394349
Name:D'ARCY, CYNTHIA
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:D'ARCY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CONOVER ROAD
Mailing Address - Street 2:COLLIER YOUTH SERVICES
Mailing Address - City:WICKATUNK
Mailing Address - State:NJ
Mailing Address - Zip Code:07765
Mailing Address - Country:US
Mailing Address - Phone:732-946-4771
Mailing Address - Fax:732-946-3519
Practice Address - Street 1:160 CONOVER ROAD
Practice Address - Street 2:COLLIER YOUTH SERVICES
Practice Address - City:WICKATUNK
Practice Address - State:NJ
Practice Address - Zip Code:07765
Practice Address - Country:US
Practice Address - Phone:732-946-4771
Practice Address - Fax:732-946-3519
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL04994800104100000X
NJ1-16-21591106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker