Active NPI
Henrietta C. Ajaero, M.SC, MPA
- Behavior Analyst
- New York, NY
National Provider Identifier
1033347307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 23294
- Practice address
- 625 Main St
#531
New York, NY 10044-0023 - Phone
- (347) 266-2464
- NPI assigned
- Jun 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 23294 | NY | Primary |
Addresses
Primary practice location
625 Main St
#531
New York, NY 10044-0023
Mailing address
625 Main St
#531
New York, NY 10044-0023
Phone (347) 266-2464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23294 | Other | NY | EI NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23294 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1033347307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 MAIN ST",
"address_2": "#531",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440023",
"telephone_number": "347-266-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 MAIN ST",
"address_2": "#531",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440023",
"telephone_number": "347-266-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJAERO",
"first_name": "HENRIETTA",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "M.SC, MPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "23294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI NUMBER",
"identifier": "23294",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.