Provider Demographics
NPI:1568992865
Name:ROMANO, CASSIE JO (BCBA)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:JO
Last Name:ROMANO
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 1:251 TREETOP CIR
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-1021
Mailing Address - Country:US
Mailing Address - Phone:214-701-2744
Mailing Address - Fax:
Practice Address - Street 1:141 MAIN ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-8104
Practice Address - Country:US
Practice Address - Phone:201-390-8017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239061103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst