Gina Helen Abraham, M.S.ED., BCBA, LBA
Individual provider Active NPI Behavior Analyst · Vestal, NY
NPI 1023478682 · NPPES record last updated Oct 21, 2022
Key facts
- NPI
- 1023478682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 225 Vestal Pkwy E
Vestal, NY 13850-1629 - Phone
- (646) 320-0790
- NPI assigned
- Feb 25, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 897875141 | NY | MD | Specialist |
| 897877141 | NY | MD | Specialist |
Networks
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 897875141 | NY | |
| Specialist | 174400000X | 897877141 | NY | |
| Behavior Analyst | 103K00000X | NY | Yes |
Addresses
Primary practice location
225 Vestal Pkwy E
Vestal, NY 13850-1629
Mailing address
225 Vestal Pkwy E
Vestal, NY 13850-1629
Phone (646) 320-0790
Other practice location 1
383 Grand St Apt M506
New York, NY 10002-3977
Phone (607) 283-6496
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.