Active NPI
Colleen Cody, BCBA
- Behavior Analyst
- Island Park, NY
National Provider Identifier
1164230215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 762679
- Practice address
- 119 Island Pkwy N
Island Park, NY 11558-1329 - Phone
- (516) 761-3602
- NPI assigned
- Dec 20, 2024
- 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 | 762679 | NY | Primary |
Addresses
Primary practice location
119 Island Pkwy N
Island Park, NY 11558-1329
Mailing address
119 Island Pkwy N
Island Park, NY 11558-1329
Phone (516) 761-3602
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 |
|---|---|---|---|
| 762679 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1164230215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 ISLAND PKWY N",
"city": "ISLAND PARK",
"state": "NY",
"postal_code": "115581329",
"telephone_number": "516-761-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 ISLAND PKWY N",
"city": "ISLAND PARK",
"state": "NY",
"postal_code": "115581329",
"telephone_number": "516-761-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODY",
"first_name": "COLLEEN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-20",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "762679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Island Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.