Organization Active NPI

Emerge Licensed Behavior Analyst PLLC

  • Behavior Analyst
  • Monticello, NY
National Provider Identifier
1003687682
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EMERGE LICENSED BEHAVIOR ANALYST PLLC
Practice address
1107 Old Liberty Rd
Monticello, NY 12701-3128
Phone
(718) 534-7014
Fax
(718) 840-3476
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mordechai Leifer, LBANPI 1730899758
Title
Member
Phone
(718) 650-7894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1107 Old Liberty Rd
Monticello, NY 12701-3128

Mailing address

182 Webster Ave
Brooklyn, NY 11230-1106
Phone (718) 853-3330

Other practice location 1

182 Webster Ave
Brooklyn, NY 11230-1106
Phone (646) 939-6966

National Provider Directory

National Provider Directory

Locations

1107 Old Liberty Rd
Monticello, NY 12701
Phone (718) 534-7014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1003687682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 WEBSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301106",
            "telephone_number": "718-853-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 OLD LIBERTY RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013128",
            "telephone_number": "718-534-7014",
            "fax_number": "718-840-3476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112301106",
            "country_code": "US",
            "telephone_number": "646-939-6966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERGE LICENSED BEHAVIOR ANALYST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "LEIFER",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-650-7894",
        "authorized_official_credential": "LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.