Organization Active NPI

Lasting Bases ABA LLC

  • Behavior Analyst
  • Haverstraw, NY
National Provider Identifier
1073407961
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LASTING BASES ABA LLC
Practice address
63 New Main Street
1St Floor
Haverstraw, NY 10927
Phone
(929) 466-1305
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Sim B
Title
Member
Phone
(929) 466-1305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

63 New Main Street
1St Floor
Haverstraw, NY 10927

Mailing address

63 New Main Street
1St Floor
Haverstraw, NY 10927
Phone (929) 466-1305

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1073407961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 NEW MAIN STREET",
            "address_2": "1ST FLOOR",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "10927",
            "telephone_number": "929-466-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 NEW MAIN STREET",
            "address_2": "1ST FLOOR",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "10927",
            "telephone_number": "929-466-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING BASES ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "B",
        "authorized_official_first_name": "SIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "929-466-1305"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverstraw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.