Active NPI
Kristin I Lombardi, MA, BCBA, LBA
- Behavior Analyst
- Jericho, NY
National Provider Identifier
1164676508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1800195
- Practice address
- 58 17TH St Apt C3
Jericho, NY 11753-2440 - Phone
- (516) 220-8316
- NPI assigned
- Nov 12, 2008
- Last updated
- Aug 17, 2020
- 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 | 1800195 | NY | Primary |
Addresses
Primary practice location
58 17TH St Apt C3
Jericho, NY 11753-2440
Mailing address
9 N Pine Dr
North Massapequa, NY 11758-2618
Phone (516) 220-8316
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1800195 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zeal Behavior Analysis, P.C. | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Jericho, NY
- NPI 1649885088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1164676508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 N PINE DR",
"city": "NORTH MASSAPEQUA",
"state": "NY",
"postal_code": "117582618",
"telephone_number": "516-220-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 17TH ST APT C3",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532440",
"telephone_number": "516-220-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDI",
"first_name": "KRISTIN",
"middle_name": "I",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1800195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jericho, NY
- Karen R Lindner-Choset, MD
- Shari Lipman
- Andrew David Lipschitz, M.D.
- Valerie Dawn Litwin, MSW RCSW
- Dana M Liuzzi-Zhang, M.A. CCC-SLP
- Gianna Lombari, FNP-C
- Long Island Lcsws PLLC
- Long Island Physical Medicine and Rehab I, P.C.
- Long Island Speech Pathology Myofunctional Therapy Services P.C.
- Erin M Looi, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.