Michelle Mary Fazzolari, MS ED.
NPI 1417381088ActiveIndividual· Behavior Analyst· Williston Park, NY
Behavior Analyst (MS ED.) in Williston Park, New York, licensed in NY, with an NPI issued in August 2013.
Overview
| NPI | 1417381088 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS ED. |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2013 |
| Last updated in NPPES | Aug 30, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 473873369 | NY |
| Specialist | 174400000X | 473873369 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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