Veronica Distasi | Passaic, NJ • PECOS Search

Veronica Distasi

Behavior Analyst

Behavioral Health & Social Service Providers

329 Aycrigg Ave, Passaic, NJ 07055-3713

(973) 471-3046 (973) 508-5644

PECOS Enrollment

Based on the most recent information from CMS, provider Veronica Distasi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215702477
Provider Type
Individual
Full Name
Distasi, Veronica
Credential
M.A., BCBA

Gender
Female
Sole Proprietor
No
Enumeration Date
11/17/2023
Last Updated
11/17/2023

Contact Information

Practice Location

329 Aycrigg Ave, Passaic, NJ 07055-3713

Unlisted Fax

Mailing Location

200 Autumn Ln Apt 208a, Garfield, NJ 07026-4603

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License 1-21-52324 New Jersey