Rachel Gruler, BCBA LP-LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

P11777 Issued in NY

Practice address

587 Main St
2
Islip, NY 11751-1175

Phone

(765) 721-2234

NPI assigned

Jul 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678

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.

• Dragonfly Applied Behavior Analysis PC

  • Behavior Analyst
  • Farmingdale, NY
  • NPI 1639891922
  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1114404027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 MAIN ST APT 2",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513554",
            "telephone_number": "765-721-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 MAIN ST",
            "address_2": "2",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117511175",
            "telephone_number": "765-721-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULER",
        "first_name": "RACHEL",
        "credential": "BCBA LP-LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-30568",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "P11777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Alyse Gorman
• Alexandra Gould
• Diana Marie Greenspan
• James Joseph Greico, PT,MS,OCS,DPT
• Lisa Ann Griffiths
• Mark Gudesblatt, M.D.
• Geeta Gupta, M.D
• Shanna Haddow, DPT
• Tyesha Hall, LMSW
• Susan E Hammond, L.M.T.

• Behavior Analyst in Islip, NY
• Providers in Islip, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.