Provider Demographics
NPI:1386324952
Name:NINIVAGGI, CYNTHIA C (BCBA)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:C
Last Name:NINIVAGGI
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 1:6 MINUTEMAN CIR
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-1850
Mailing Address - Country:US
Mailing Address - Phone:848-448-4312
Mailing Address - Fax:
Practice Address - Street 1:6 MINUTEMAN CIR
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501-1850
Practice Address - Country:US
Practice Address - Phone:848-448-4312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst