Organization Active NPI

Alive ABA Therapy KS LLC

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1073426052
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ALIVE ABA THERAPY KS LLC
Practice address
3919 Bedford Ave
Brooklyn, NY 11229-2435
Phone
(347) 860-1156
NPI assigned
Sep 23, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Fay Brezel
Title
Director
Phone
(718) 436-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3919 Bedford Ave
Brooklyn, NY 11229-2435

Mailing address

4601 E Douglas Ave Ste 150
Wichita, KS 67218-1011

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1073426052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS AVE STE 150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292435",
            "telephone_number": "347-860-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE ABA THERAPY KS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "BREZEL",
        "authorized_official_first_name": "FAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-436-5260"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.