Active NPI
Nathan Gary Edwards, BCBA, LBA
- Behavior Analyst
- Albany, NY
National Provider Identifier
1144082058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 003214
- Practice address
- 2 Computer Dr W Ste 210
Albany, NY 12205-1622 - Phone
- (855) 295-3276
- Fax
- (888) 588-2752
- NPI assigned
- Jan 25, 2024
- Last updated
- Jan 25, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 003214 | NY | Primary |
Addresses
Primary practice location
2 Computer Dr W Ste 210
Albany, NY 12205-1622
Mailing address
1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
Phone (818) 241-6780
Other practice location 1
5266 Seneca St
West Seneca, NY 14224-3707
Phone (855) 295-3276
Other practice location 2
14 Harwood Ct Ste 415
Scarsdale, NY 10583-4120
Phone (855) 295-3276
Other practice location 3
7041 Transit Rd
East Amherst, NY 14051-1108
Phone (855) 295-3276
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 |
|---|---|---|---|
| 003214 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1144082058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 S MAYFLOWER AVE STE 220",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910165239",
"telephone_number": "818-241-6780",
"fax_number": "888-588-2752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COMPUTER DR W STE 210",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051622",
"telephone_number": "855-295-3276",
"fax_number": "888-588-2752"
}
],
"practiceLocations": [
{
"address_1": "5266 Seneca St",
"address_purpose": "LOCATION",
"city": "West Seneca",
"state": "NY",
"postal_code": "142243707",
"country_code": "US",
"telephone_number": "855-295-3276",
"fax_number": "888-588-2752",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 Harwood Ct Ste 415",
"address_purpose": "LOCATION",
"city": "Scarsdale",
"state": "NY",
"postal_code": "105834120",
"country_code": "US",
"telephone_number": "855-295-3276",
"fax_number": "888-588-2752",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7041 Transit Rd",
"address_purpose": "LOCATION",
"city": "East Amherst",
"state": "NY",
"postal_code": "140511108",
"country_code": "US",
"telephone_number": "855-295-3276",
"fax_number": "888-588-2752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "NATHAN",
"middle_name": "GARY",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "003214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.