Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 RIVER ST
HOBOKEN NJ
07030-5989
US

IV. Provider business mailing address

70 DANIEL AVE
RUTHERFORD NJ
07070-2734
US

V. Phone/Fax

Practice location:
  • Phone: 855-647-5888
  • 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: