Provider Demographics
NPI:1912151622
Name:CATANESE, DANA M (MA, MBA, BCBA)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:M
Last Name:CATANESE
Suffix:
Gender:F
Credentials:MA, MBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 PIERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-5715
Mailing Address - Country:US
Mailing Address - Phone:201-675-1420
Mailing Address - Fax:
Practice Address - Street 1:601 PIERMONT AVE
Practice Address - Street 2:
Practice Address - City:RIVERVALE
Practice Address - State:NJ
Practice Address - Zip Code:07675-5715
Practice Address - Country:US
Practice Address - Phone:201-675-1420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1084291103K00000X
NJ00414136103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool