KASSIDY SANDY-BOURNE
NPI 1861977449
Behavior Technician in Melville, NY
About Kassidy Sandy-bourne NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSIDY SANDY-BOURNE (NPI 1861977449) is an individual behavior technician in Melville, New York and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kassidy Sandy-bourne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Kassidy Sandy-bourne's NPI number?
The NPI number for Kassidy Sandy-bourne is 1861977449. It was assigned to this individual provider in the NPPES registry on September 28, 2018.
Where is Kassidy Sandy-bourne located?
Kassidy Sandy-bourne practices at 225 Broadhollow Rd Ste 402, Melville, NY 11747. The listed phone number is (631) 385-7780.
What is Kassidy Sandy-bourne's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
Is Kassidy Sandy-bourne enrolled in Medicare?
Yes. Kassidy Sandy-bourne is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kassidy Sandy-bourne was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.