Khalia Musa, BEHAVIOR ANALYST

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

003324 Issued in NY

Practice address

1119 N Broadway
Massapequa, NY 11758-1337

Phone

(917) 530-3208

NPI assigned

Jan 12, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Lane Applied Behavior Analysis, PLLC

  • Behavior Analyst
  • Central Islip, NY
  • NPI 1912884370
  NPD Authorized official

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1194233049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581337",
            "telephone_number": "917-530-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581337",
            "telephone_number": "917-530-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSA",
        "first_name": "KHALIA",
        "credential": "BEHAVIOR ANALYST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "003324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MSK Medical Services, PC
• MSK Medical, PC
• Robert L Mucciolo, M.D.
• Sarah Niamh Mullin, LMSW
• Erin Patrice Murphy, M.A.
• Mwe Medical PC
• Barry S Myers, DDS
• Myoair Inc
• Jessica Paige Nagler, L.AC
• Daniel Nagorski, P.T., D.P.T.

• Behavior Analyst in Massapequa, NY
• Providers in Massapequa, 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 Mar 15, 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.