Organization Active NPI

Comprehensive Licensed Behavior Analyst, PLLC.

  • Behavior Analyst
  • Rego Park, NY
National Provider Identifier
1053810234
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000441 Issued in NY
Legal business name
COMPREHENSIVE LICENSED BEHAVIOR ANALYST, PLLC.
Practice address
6264 Saunders St Apt D3
Rego Park, NY 11374-1510
Phone
(646) 868-3815
NPI assigned
Feb 2, 2018
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Nitzia Davalos
Title
Office Manager
Phone
(646) 868-3815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 000441 NY Primary

Addresses

Primary practice location

6264 Saunders St Apt D3
Rego Park, NY 11374-1510

Mailing address

5314 16TH Ave Ste 63N
Brooklyn, NY 11204-1425
Phone (646) 868-3815

Other practice location 1

15 Parkville Ave Ste 401
Brooklyn, NY 11230-1619
Phone (646) 868-3815

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1053810234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 16TH AVE STE 63N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041425",
            "telephone_number": "646-868-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 SAUNDERS ST APT D3",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741510",
            "telephone_number": "646-868-3815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Parkville Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112301619",
            "country_code": "US",
            "telephone_number": "646-868-3815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE LICENSED BEHAVIOR ANALYST, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "DAVALOS",
        "authorized_official_first_name": "NITZIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "646-868-3815"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.