Healthcare Provider Details

I. General information

NPI: 1982528436
Provider Name (Legal Business Name): MRS. CHRISMAILY SHERIBEL PICHARDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 E 26TH ST FL 1
PATERSON NJ
07514-1704
US

IV. Provider business mailing address

213 E 26TH ST FL 1
PATERSON NJ
07514-1704
US

V. Phone/Fax

Practice location:
  • Phone: 914-918-4594
  • Fax:
Mailing address:
  • Phone: 914-918-4594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number15BC00401900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: