Active NPI
Robin Nguyen, MS, BCBA, LBA
- Behavior Analyst
- New York, NY
National Provider Identifier
1174848097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000569
- Practice address
- 1214 5TH Ave Apt 22G
New York, NY 10029-5220 - Phone
- (510) 589-2731
- NPI assigned
- Apr 3, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Behavior Analyst | 103K00000X | 000569 | NY | Primary |
Addresses
Primary practice location
1214 5TH Ave Apt 22G
New York, NY 10029-5220
Mailing address
1214 5TH Ave Apt 22G
New York, NY 10029-5220
Phone (510) 589-2731
Other practice location 1
321 Fortune Blvd
Milford, MA 01757-1750
Phone (508) 478-0207
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1174848097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 5TH AVE APT 22G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100295220",
"telephone_number": "510-589-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 5TH AVE APT 22G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100295220",
"telephone_number": "510-589-2731"
}
],
"practiceLocations": [
{
"address_1": "321 Fortune Blvd",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "MA",
"postal_code": "017571750",
"country_code": "US",
"telephone_number": "508-478-0207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ROBIN",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-03",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.