Active NPI
Comprehensive Licensed Behavior Analyst, PLLC.
- Behavior Analyst
- Rego Park, NY
National Provider Identifier
1053810234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000441
- 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, 2026
- 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
- Nitzia Davalos
- Title
- Office Manager
- Phone
- (646) 868-3815
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Behavior Analyst
- Brooklyn, NY
- NPI 1518632561
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": []
}
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- Judith L Conklin, CASAC
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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.