Active NPI
Sharon Elise Weidberg, SEIT
- Behavior Analyst
- North Babylon, NY
National Provider Identifier
1124455878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 492978041
- Practice address
- 83 Ryder Ave
North Babylon, NY 11703-2224 - Phone
- (718) 755-0216
- NPI assigned
- Sep 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 492978041 | NY | Primary |
Addresses
Primary practice location
83 Ryder Ave
North Babylon, NY 11703-2224
Mailing address
83 Ryder Ave
North Babylon, NY 11703-2224
Phone (718) 755-0216
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
| License | State | Type | Specialty |
|---|---|---|---|
| 492978041 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1124455878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 RYDER AVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117032224",
"telephone_number": "718-755-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 RYDER AVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117032224",
"telephone_number": "718-755-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDBERG",
"first_name": "SHARON",
"middle_name": "ELISE",
"name_prefix": "Ms.",
"credential": "SEIT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "492978041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.