Arzo Adison, B.A., M.S., BCBA

Key facts

NPI

1194479402

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

License

002080-01 (NY)

Practice address

1534 E 34TH St FL 2
Brooklyn, NY 11234-3437

Phone

(323) 646-4311

NPI assigned

Feb 5, 2022

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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.

• Arzo Adison License Applied Beahvioral Analysis PLLC Behavior Analyst · Brooklyn, NY · NPI 1649912593
  NPD Authorized official BEHAVIOR ANALYST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Bachelor of Arts, Master of Science

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 5, 2022.

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1194479402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 E 34TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343437",
            "telephone_number": "323-646-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E 34TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343437",
            "telephone_number": "323-646-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADISON",
        "first_name": "ARZO",
        "credential": "B.A., M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002080-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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