Individual provider Active NPI

Jill Scionti, BCBA

  • Behavior Analyst
  • Lynbrook, NY
National Provider Identifier
1194116806
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000638 Issued in NY
Practice address
22 Jefferson Ave
Apartment 1
Lynbrook, NY 11563-2765
Phone
(516) 972-8401
NPI assigned
Feb 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 000638 NY Primary

Addresses

Primary practice location

22 Jefferson Ave
Apartment 1
Lynbrook, NY 11563-2765

Mailing address

22 Jefferson Ave
Apartment 1
Lynbrook, NY 11563-2765
Phone (516) 972-8401

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

State licenses

LicenseStateTypeSpecialty
000638NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1194116806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 JEFFERSON AVE",
            "address_2": "APARTMENT 1",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632765",
            "telephone_number": "516-972-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 JEFFERSON AVE",
            "address_2": "APARTMENT 1",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632765",
            "telephone_number": "516-972-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIONTI",
        "first_name": "JILL",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.