Active NPI
Isabella ABA Services Inc.
- Community/Behavioral Health Agency
- Long Island City, NY
National Provider Identifier
1053077503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ISABELLA ABA SERVICES INC.
- Practice address
- 3418 Northern Blvd Ste 5-5
Long Island City, NY 11101-2807 - Phone
- (212) 589-1208
- NPI assigned
- Nov 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon Stephenson-Barrett
- Title
- ABA Therapist
- Phone
- (516) 996-2176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3418 Northern Blvd Ste 5-5
Long Island City, NY 11101-2807
Mailing address
3418 Northern Blvd Ste 5-5
Long Island City, NY 11101-2807
National Provider Directory
National Provider DirectoryLocations
3418 Northern Blvd
Ste 55
Long Island City, NY 11101
Phone (212) 529-9780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Peer Specialist
- Valley Stream, NY
- NPI 1881104768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636416000000",
"number": "1053077503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3418 NORTHERN BLVD STE 5-5",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3418 NORTHERN BLVD STE 5-5",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012807",
"telephone_number": "212-589-1208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISABELLA ABA SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A",
"authorized_official_last_name": "STEPHENSON-BARRETT",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "ABA THERAPIST",
"authorized_official_telephone_number": "516-996-2176",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.