Provider Demographics
NPI:1598900334
Name:CELIFIE-AIME, KATIA (MSED)
Entity Type:Individual
Prefix:MS
First Name:KATIA
Middle Name:
Last Name:CELIFIE-AIME
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MEADOWBROOK LN
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-4008
Mailing Address - Country:US
Mailing Address - Phone:516-270-7609
Mailing Address - Fax:516-812-9114
Practice Address - Street 1:18 MEADOWBROOK LN
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-4008
Practice Address - Country:US
Practice Address - Phone:516-270-7609
Practice Address - Fax:516-298-8992
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst