Individual provider Active NPI

Milena Priven, MA, MSED, BCBA, NYS

  • Behavior Analyst
  • Staten Island, NY
National Provider Identifier
1073874889
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001935 Issued in NY
Practice address
26 Greencroft LN
Staten Island, NY 10308-3262
Phone
(917) 494-9210
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1248458 NY
Behavior Analyst 103K00000X 001935 NY Primary

Addresses

Primary practice location

26 Greencroft LN
Staten Island, NY 10308-3262

Mailing address

26 Greencroft LN
Staten Island, NY 10308-3262
Phone (917) 494-9210

Other identifiers 2

IdentifierTypeStateIssuer
1-20-42463OtherBCBA
54533MedicaidNY

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 Arts

State licenses

LicenseStateTypeSpecialty
001935NYMDMental Health Counselor
1248458NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Hearts Applied Behavior Analysis, PC Behavior Analyst CurrentSince Oct 13, 2024 Accepting new patients

Networks

  • Healthfirst Medicare Network H9678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1073874889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREENCROFT LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083262",
            "telephone_number": "917-494-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GREENCROFT LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083262",
            "telephone_number": "917-494-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVEN",
        "first_name": "MILENA",
        "name_prefix": "Mrs.",
        "credential": "MA, MSED, BCBA, NYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1248458",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-20-42463",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.