Healthcare Provider Details

I. General information

NPI: 1699441246
Provider Name (Legal Business Name): MS. ALEXANDRA L IANNARELLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A AND J BEHAVIORAL HEALTH 2631 MERRICK RD SUITE 302
BELLMORE NY
11710
US

IV. Provider business mailing address

2605 S. SEAMANS NECK RD
SEAFORD NY
11783
US

V. Phone/Fax

Practice location:
  • Phone: 516-590-7575
  • Fax: 516-590-7573
Mailing address:
  • Phone: 516-491-0964
  • 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: