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AMANDA DETIBERUS
NPI 1164889598
Specialist in Melville, NY

Active since January 15, 2016
538 BROADHOLLOW RD, 202, MELVILLE, NY 11747(631) 385-7780 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Detiberus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA DETIBERUS (NPI 1164889598) is an individual specialist in Melville, New York and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1164889598
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameAMANDA DETIBERUS
Location Address538 BROADHOLLOW RD, 202Melville, NY 11747-3676
Mailing Address538 Broadhollow Rd, 202Melville, NY 11747-3676
Phone(631) 385-7780
Sole ProprietorNo
Enumeration DateJanuary 15, 2016
✔ NPI 1164889598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
538 BROADHOLLOW RD, Melville, NY 11747
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PATRICIA SCHUCHMAN SPECIAL ED, MS.
Specialist
538 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
ABIGAIL ZERELLA
Specialist
538 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
ANNEMARIE MIGUEL
Specialist
538 BROADHOLLOW RD, SUITE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MISS MARILUZ GENAO MA
Specialist
538 BROADHOLLOW RD, SUITE 202
MELVILLE, NY 11747
Suffolk County (631) 901-9003
TANYA MARIE CUSUMANO M.A.
Health Educator
538 BROADHOLLOW RD, SUITE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
LAURA GALLO
Specialist
538 BROADHOLLOW RD, SUITE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
JESSICA CAMPO
Behavior Analyst
538 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MS. ASIA GILYARD BEHAVIOR THERAPIST
Behavior Technician
538 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Detiberus's NPI number?

The NPI number for Amanda Detiberus is 1164889598. It was assigned to this individual provider in the NPPES registry on January 15, 2016.

Where is Amanda Detiberus located?

Amanda Detiberus practices at 538 Broadhollow Rd 202, Melville, NY 11747. The listed phone number is (631) 385-7780.

What is Amanda Detiberus's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Amanda Detiberus was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.