Provider Demographics
NPI:1629756812
Name:TRADITO, BRIANA M (SLP-CCC, TSSLD)
Entity Type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:M
Last Name:TRADITO
Suffix:
Gender:F
Credentials:SLP-CCC, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 STONEGATE RD
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1019
Mailing Address - Country:US
Mailing Address - Phone:914-843-1108
Mailing Address - Fax:
Practice Address - Street 1:8 STONEGATE RD
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1019
Practice Address - Country:US
Practice Address - Phone:914-843-1108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032972-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist