Provider Demographics
NPI:1538465661
Name:CALIGUIRI, MICHAEL J (BCABA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:CALIGUIRI
Suffix:
Gender:M
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 COLUMBIA VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-5801
Mailing Address - Country:US
Mailing Address - Phone:862-266-1734
Mailing Address - Fax:
Practice Address - Street 1:57 LENAPE RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:NJ
Practice Address - Zip Code:07821-4570
Practice Address - Country:US
Practice Address - Phone:862-266-1734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0-17-8010103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst