Healthcare Provider Details

I. General information

NPI: 1902248339
Provider Name (Legal Business Name): JENNA L ZIRINO MSED, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 05/20/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2227 E 63RD ST
BROOKLYN NY
11234-6303
US

IV. Provider business mailing address

2227 E 63RD ST
BROOKLYN NY
11234-6303
US

V. Phone/Fax

Practice location:
  • Phone: 718-241-3927
  • Fax:
Mailing address:
  • Phone: 718-241-3927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-15-20768
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: