Provider Demographics
NPI:1841592268
Name:BELLIZZI, ALANA MARIE (MS,BCBA)
Entity Type:Individual
Prefix:MISS
First Name:ALANA
Middle Name:MARIE
Last Name:BELLIZZI
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 1:1 INTERNATIONAL BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07495-0025
Mailing Address - Country:US
Mailing Address - Phone:201-512-8750
Mailing Address - Fax:
Practice Address - Street 1:1 INTERNATIONAL BLVD STE 400
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07495-0025
Practice Address - Country:US
Practice Address - Phone:201-512-8750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-10-7647103K00000X
1107647103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst