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NPI Code Detail

MEDICARE: VICTORIA CLAIRE SISTI BCBA

MEDICARE:   VICTORIA CLAIRE SISTI  BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-20-40690NJ

General Provider Information

NPI Number : 1568082204
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA CLAIRE SISTI BCBA
Provider Business Mailing Address
First Line : 542 AMHERST ST STE B
Second Line :
City : NASHUA
State : NH
Zip : 03063-1016
Country : US
Telephone Number : 732-307-5170
Fax Number :
Provider Business Practice Location Address
First Line : 2163 OAK TREE RD STE 200
Second Line :
City : EDISON
State : NJ
Zip : 08820-1084
Country : US
Telephone Number : 786-774-0679
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2020
Last Update Date : 07/10/2025

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Directions to “ VICTORIA CLAIRE SISTI BCBA” Practice Location

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