Organization Active NPI

Alpha & Omega Kids Developmental Services

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1063035657
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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)CodeLicenseStatePrimary
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 Kids2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.