Healthcare Provider Details

I. General information

NPI: 1225763493
Provider Name (Legal Business Name): YASMINE PAULINO M.A., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 CLIFTON AVE STE 202
CLIFTON NJ
07013-3650
US

IV. Provider business mailing address

110 BERGEN TPKE UNIT 605B
LITTLE FERRY NJ
07643-1671
US

V. Phone/Fax

Practice location:
  • Phone: 973-210-9040
  • Fax:
Mailing address:
  • Phone: 201-962-0986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: