Provider Demographics
NPI:1013320084
Name:MARCOTTE, CYNTHIA (BCABA)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:MARCOTTE
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13201 SUGARBLUFF RD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34715-6819
Mailing Address - Country:US
Mailing Address - Phone:352-223-1999
Mailing Address - Fax:
Practice Address - Street 1:7072 NUMBER 2 RD
Practice Address - Street 2:
Practice Address - City:HOWEY IN THE HILLS
Practice Address - State:FL
Practice Address - Zip Code:34737-3500
Practice Address - Country:US
Practice Address - Phone:321-278-1666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-08
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst