Provider Demographics
NPI:1073404927
Name:BILLINI, LUCEIDY KYANI
Entity type:Individual
Prefix:
First Name:LUCEIDY
Middle Name:KYANI
Last Name:BILLINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WEBSTER DR
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-2553
Mailing Address - Country:US
Mailing Address - Phone:203-913-3150
Mailing Address - Fax:
Practice Address - Street 1:1000 BRIDGEPORT AVE STE 405
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4660
Practice Address - Country:US
Practice Address - Phone:203-993-6592
Practice Address - Fax:475-203-3328
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician