Individual provider Active NPI

Yumiko T Pestka, MSBA, BCBA

  • Behavior Analyst
  • Fair Lawn, NJ
National Provider Identifier
1083414460
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
004092-01 Issued in NY
Practice address
347 Owen Ave
Fair Lawn, NJ 07410-3616
Phone
(203) 362-9407
NPI assigned
Mar 15, 2025
Last updated
Mar 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 004092-01 NY Primary

Addresses

Primary practice location

347 Owen Ave
Fair Lawn, NJ 07410-3616

Mailing address

347 Owen Ave
Fair Lawn, NJ 07410-3616
Phone (203) 362-9407

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

State licenses

LicenseStateTypeSpecialty
004092-01NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Behavior Analysis and Psychological Services Behavior Analyst Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1083414460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 OWEN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103616",
            "telephone_number": "203-362-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 OWEN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103616",
            "telephone_number": "203-362-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTKA",
        "first_name": "YUMIKO",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "MSBA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "004092-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.