Active NPI
Simona Nabatov, MS
- Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1063868404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1341447
- Practice address
- 75 Oceana Drive East
Brooklyn, NY 11235 - Phone
- (718) 213-5788
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1341447 | NY | Primary |
Addresses
Primary practice location
75 Oceana Drive East
Brooklyn, NY 11235
Mailing address
75 Oceana Dr E Apt 3G
Brooklyn, NY 11235-6671
Phone (718) 213-5788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1341447 | Other | NY | EDUCATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1341447 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1063868404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 OCEANA DR E APT 3G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356671",
"telephone_number": "718-213-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 OCEANA DRIVE EAST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-213-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABATOV",
"first_name": "SIMONA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1341447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATION",
"identifier": "1341447",
"state": "NY"
}
],
"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 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.