NPIMap

Organization Active NPI

Tap Into Potential, Corp.

  • Behavior Analyst
  • Rocky Point, NY
National Provider Identifier
1093002008
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2612 Issued in NY
Legal business name
TAP INTO POTENTIAL, CORP.
Practice address
35 Ficus Rd
Rocky Point, NY 11778-9380
Phone
(631) 786-3106
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Tracy Peterson, BCBA
Title
President, Behavior Analyst
Phone
(631) 786-3106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-05-2612 NY Primary

Addresses

Primary practice location

35 Ficus Rd
Rocky Point, NY 11778-9380

Mailing address

35 Ficus Rd
Rocky Point, NY 11778-9380
Phone (631) 786-3106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1093002008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FICUS RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789380",
            "telephone_number": "631-786-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 FICUS RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789380",
            "telephone_number": "631-786-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAP INTO POTENTIAL, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT, BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "631-786-3106",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-05-2612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.