Alexandra Vergara, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

002086-21 Issued in NY

Practice address

1 Barstow Rd
Great Neck, NY 11021-3540

Phone

(516) 441-5255

NPI assigned

Apr 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Networks

• Healthfirst Medicare Network H9678

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1174104335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 117TH ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561545",
            "telephone_number": "646-457-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARSTOW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213540",
            "telephone_number": "516-441-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "ALEXANDRA",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002086-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sini Varghese
• Luke Apostolos Vasiliadis, P.T
• Louis H Vastola, D.C.
• Lisa M. Vega, PSYD
• Alexander Velez
• Rohit Binod Verma, MD
• Bilah Verno, MSN, APRN, FNP-BC
• Caroline Rose Via, MD
• Kay Halkins Vickers, PH.D.
• Richard Lee Vickers, PH.D.

• Behavior Analyst in Great Neck, NY
• Providers in Great Neck, 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 Apr 19, 2021; 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.