JULIANNE FAIRBROTHER (NPI# 1104340520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104340520 |
| Entity Type | Individual |
| Full Name | JULIANNE FAIRBROTHER |
| Practice Address |
538 Broadhollow Rd Melville NY 11747-3676 |
| Mailing Address |
11 Hubbell St Commack NY 11725-2008 |
| Practice Telephone | 6313857780 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
538 BROADHOLLOW RD |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548308125 | Becki Naomi Boussidan | Specialist | 538 Broadhollow Rd, Suite 202, Melville, NY 11747-3676 | 2007-02-03 |
| 1801315478 | Courtney N Pallotta | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-09-14 |
| 1144759572 | Carly Galvin | Behavior Technician | 538 Broadhollow Rd, Suite 202, Melville, NY 11747 | 2017-06-08 |
| 1679001614 | Shanequa Myers | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-06-02 |
| 1861920928 | Karina Kononenko | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-06-01 |
| 1144758418 | Nicole P Ringel | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-31 |
| 1740718634 | Michelle Kopec | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-23 |
| 1568998953 | Haley Sabella | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-04 |
| 1790211142 | Angela Olsen | Case Manager/Care Coordinator | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-04 |
| 1073048294 | Milagros Malca | Case Manager/Care Coordinator | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154683928 | Katharina Satin | Early Intervention Provider Agency | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2012-06-07 |
| 1629223987 | Andretta Behavior Analysts, Inc. | Early Intervention Provider Agency | 14 Rassmussen Pl, Melville, NY 11747-1528 | 2008-11-28 |
| 1053943498 | Desiree Diaz X | Early Intervention Provider Agency | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-02-04 |
| 1992354484 | Maria Schmidt | Early Intervention Provider Agency | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-09-06 |
| 1649739939 | Afton Jenean Virgilio | Early Intervention Provider Agency | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2019-03-15 |
| 1336619477 | Irene Astras | Early Intervention Provider Agency | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2018-12-02 |
| 1841760055 | Jean Marino | Early Intervention Provider Agency | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-11-30 |
| 1649753138 | Lisa Renn | Early Intervention Provider Agency | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-09-11 |
| 1013490903 | Monsurat Modupe Ladejobi | Early Intervention Provider Agency | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-09-07 |
| 1316424906 | Lauren Narine | Early Intervention Provider Agency | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-07-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.