Individual
GIOVANNA M CEBALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 PONINGO ST APT A2, PORT CHESTER, NY 10573-4020
(914) 217-3308
Mailing address
125 PONINGO ST APT A2, PORT CHESTER, NY 10573-4020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
022194-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9996499
OTR CERTIFICATION NUMBER
NY
Enumeration date
12/28/2017
Last updated
05/16/2025
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