Provider Demographics
NPI:1932709540
Name:HYACINTHE, CASSANDRA JASMINE
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JASMINE
Last Name:HYACINTHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 BENSON AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2317
Mailing Address - Country:US
Mailing Address - Phone:516-906-2149
Mailing Address - Fax:
Practice Address - Street 1:254 BENSON AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-2317
Practice Address - Country:US
Practice Address - Phone:516-906-2149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst