Individual
BRIANA MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 N FORDHAM RD, HICKSVILLE, NY 11801-6058
(516) 319-8028
Mailing address
61 N FORDHAM RD, HICKSVILLE, NY 11801-6058
(516) 319-8028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HX0006294926
—
NY
Enumeration date
08/04/2022
Last updated
09/15/2025
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