Bright Shine Licensed Behavior Analyst PC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BRIGHT SHINE LICENSED BEHAVIOR ANALYST PC

Practice address

1458 50TH St Apt 4
Brooklyn, NY 11219-3678

Phone

(917) 573-9007

NPI assigned

Jun 26, 2022

Last updated

Jun 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bernard Zitronenbaum, BACB293931NPI 1558626606

Title

Behavior Analyst

Phone

(917) 573-9007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bernard Zitronenbaum Other name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernard Zitronenbaum

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1558626606
  NPD Authorized official

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

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656201600000",
    "number": "1174255566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 50TH ST APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193678",
            "telephone_number": "917-573-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 50TH ST APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193678",
            "telephone_number": "917-573-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SHINE LICENSED BEHAVIOR ANALYST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "ZITRONENBAUM",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "917-573-9007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BACB293931"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPED",
            "identifier": "1558626606",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "address_1": "1458 50th St Apt 4",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112193678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bernard Zitronenbaum",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Developmental Disabilities Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Developmental Disabilities Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2022; 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.