Provider Demographics
NPI:1639587488
Name:SATURNO, ANGELA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:SATURNO
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 GLENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-9004
Mailing Address - Country:US
Mailing Address - Phone:315-857-4416
Mailing Address - Fax:
Practice Address - Street 1:7900 GLENBROOK DR
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-9004
Practice Address - Country:US
Practice Address - Phone:315-857-4416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000050103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY801069OtherVALUE OPTIONS