NPIMap

Organization Active NPI

Rainbow Applied Behavior Analysis Ny PLLC

  • Behavior Analyst
  • Suffern, NY
National Provider Identifier
1043039191
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RAINBOW APPLIED BEHAVIOR ANALYSIS NY PLLC
Practice address
7 Old Pomona Rd
Suffern, NY 10901-1707
Phone
(201) 720-8600
Fax
(201) 353-2323
NPI assigned
Oct 7, 2024
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Sara Jacobovitch
Title
Coo
Phone
(201) 720-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

7 Old Pomona Rd
Suffern, NY 10901-1707

Mailing address

300 Broadacres Dr Ste 175
Bloomfield, NJ 07003-3165

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1043039191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROADACRES DR STE 175",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OLD POMONA RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011707",
            "telephone_number": "201-720-8600",
            "fax_number": "201-353-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW APPLIED BEHAVIOR ANALYSIS NY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "JACOBOVITCH",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-720-8600"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.