Active NPI
Bethany Mae Fairchild
- Assistant Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1003631623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 6214 24TH Ave
Brooklyn, NY 11204-3319 - Phone
- (212) 481-4040
- NPI assigned
- Nov 19, 2024
- Last updated
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | NU | Primary |
Addresses
Primary practice location
6214 24TH Ave
Brooklyn, NY 11204-3319
Mailing address
6214 24TH Ave
Brooklyn, NY 11204-3319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1003631623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6214 24TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6214 24TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043319",
"telephone_number": "212-481-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRCHILD",
"first_name": "BETHANY",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-19",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Fair Care Pharmacy Inc (Iqra Pharmacy & Surgicals)
- Fair Podiatry Practice PLLC
- Danielle A Fairbairn-Bland, LCSW
- Hillary Elise Fairbanks, PNP
- Fairbridge OT PC
- Millicent Fairclough, RN
- Fairfield Pharmacy Inc
- Acanthus Nicole Fairley, LMSW
- Fairview Adult Day Care Center
- Fairview Care Center LLC (Marton Care Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.