Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Michelle Mary Fazzolari, MSED

Individual provider Behavior Analyst · NPI 1417381088

Miss. Michelle Mary Fazzolari, MSED is a Behavior Analyst in Williston Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

436 Willis Ave
Williston Park, NY 11596-2298
Phone: (516) 233-0144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 473873369 (NY)
Specialist Taxonomy 174400000X · Licence 473873369 (NY)

Record details

NPI number1417381088
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedAugust 30, 2013
Last updated in NPPESAugust 30, 2013

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