Provider Demographics
NPI:1740092048
Name:MANCINELLI, DANIELLE (BCBA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:MANCINELLI
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 1:1563 ROUTE 532
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:08019-9701
Mailing Address - Country:US
Mailing Address - Phone:609-752-1080
Mailing Address - Fax:
Practice Address - Street 1:99 CORBETT WAY STE 102
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-4260
Practice Address - Country:US
Practice Address - Phone:732-655-3288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst