Provider Demographics
NPI:1780105163
Name:MELUSO-SCAFIDI, ANGELA CATHERINE (PHD, BCBA-D)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:CATHERINE
Last Name:MELUSO-SCAFIDI
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LUMBER LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT EPHRAIM
Mailing Address - State:NJ
Mailing Address - Zip Code:08059-1658
Mailing Address - Country:US
Mailing Address - Phone:609-440-4881
Mailing Address - Fax:
Practice Address - Street 1:8 LUMBER LANE
Practice Address - Street 2:
Practice Address - City:MOUNT EPHRAIM
Practice Address - State:NJ
Practice Address - Zip Code:08059
Practice Address - Country:US
Practice Address - Phone:609-440-4881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-13-13795103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst