Provider Demographics
NPI:1205139706
Name:CIOCE, KIM (BCBA)
Entity type:Individual
Prefix:MRS
First Name:KIM
Middle Name:
Last Name:CIOCE
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 1:5 MONTROSS ST
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-3319
Mailing Address - Country:US
Mailing Address - Phone:914-831-0952
Mailing Address - Fax:
Practice Address - Street 1:5 MONTROSS ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-3319
Practice Address - Country:US
Practice Address - Phone:914-831-0952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst