Provider Demographics
NPI:1184987976
Name:MASTRANDREA, JULIANE SCAPPEROTTI (MS)
Entity type:Individual
Prefix:MS
First Name:JULIANE
Middle Name:SCAPPEROTTI
Last Name:MASTRANDREA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 N GREENE AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3862
Mailing Address - Country:US
Mailing Address - Phone:516-769-9354
Mailing Address - Fax:
Practice Address - Street 1:369 N GREENE AVE
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-3862
Practice Address - Country:US
Practice Address - Phone:516-769-9354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist