Active NPI
Alpha & Omega Kids Developmental Services
- Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1063035657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ALPHA & OMEGA KIDS DEVELOPMENTAL SERVICES
- Practice address
- 1797 Pitkin Ave
Brooklyn, NY 11212-7841 - Phone
- (347) 424-6343
- Fax
- (718) 922-9202
- NPI assigned
- May 18, 2020
- Last updated
- May 18, 2020
- 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
- Ms. Wilma Ivette Gutierrez
- Title
- Chief Operating Officer
- Phone
- (347) 424-6343
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1797 Pitkin Ave
Brooklyn, NY 11212-7841
Mailing address
1797 Pitkin Ave
Brooklyn, NY 11212-7841
Phone (347) 424-6343
Other practice location 1
2440 Fulton St
Brooklyn, NY 11233-3401
Phone (347) 424-6343
National Provider Directory
National Provider Directory- Tax ID family
- Alpha and Omega Kids
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1043841422
Locations
2440 Fulton St
Brooklyn, NY 11233
Phone (718) 408-5180
Practitioners & affiliated clinicians
Practitioners 1
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
- Fresh Meadows, NY
- NPI 1841062908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589760000000",
"number": "1063035657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1797 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112127841",
"telephone_number": "347-424-6343",
"fax_number": "718-922-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1797 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112127841",
"telephone_number": "347-424-6343",
"fax_number": "718-922-9202"
}
],
"practiceLocations": [
{
"address_1": "2440 Fulton St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112333401",
"country_code": "US",
"telephone_number": "347-424-6343",
"fax_number": "718-922-9202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALPHA & OMEGA KIDS DEVELOPMENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-18",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "WILMA",
"authorized_official_middle_name": "IVETTE",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "347-424-6343",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.