NPIMap

Organization Active NPI

Licensed Applied Behavior Analyst Group, PLLC

Doing business as Autism Behavior Consulting

  • Community/Behavioral Health Agency
  • Massapequa, NY
National Provider Identifier
1184021479
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
000068 Issued in NY
Legal business name
LICENSED APPLIED BEHAVIOR ANALYST GROUP, PLLC
Doing business as
Autism Behavior Consulting
Practice address
248 Riviera Dr W
Massapequa, NY 11758
Phone
(631) 954-2657
Fax
(866) 667-2657
NPI assigned
Dec 2, 2014
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Mrs. Casey Nicole Falen, LBANPI 1851527899
Title
Co-Founder
Phone
(631) 317-8088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 000068 NY Primary

Addresses

Primary practice location

248 Riviera Dr W
Massapequa, NY 11758

Mailing address

248 Riviera Dr W
Massapequa, NY 11758-8523
Phone (631) 954-2657

Other names 1

  • Autism Behavior Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

173 N Main St
Ste 318
Sayville, NY 11782
Phone (631) 954-2657

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1184021479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 RIVIERA DR W",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588523",
            "telephone_number": "631-954-2657",
            "fax_number": "866-667-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 RIVIERA DR W",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "631-954-2657",
            "fax_number": "866-667-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICENSED APPLIED BEHAVIOR ANALYST GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "FALEN",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "631-317-8088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "000068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Behavior Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Autism Behavior Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.