Active NPI
Karina Davidov, BCBA LBA
- Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1225601859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 00211701
- Practice address
- 5309 18TH Ave Ste 300
Brooklyn, NY 11204-1523 - Phone
- (718) 942-3666
- NPI assigned
- Jul 21, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 00211701 | NY | Primary |
Addresses
Primary practice location
5309 18TH Ave Ste 300
Brooklyn, NY 11204-1523
Mailing address
1502 52ND St Apt 6C
Brooklyn, NY 11219-3916
Phone (443) 462-0091
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00211701 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1225601859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 52ND ST APT 6C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193916",
"telephone_number": "443-462-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5309 18TH AVE STE 300",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112041523",
"telephone_number": "718-942-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDOV",
"first_name": "KARINA",
"name_prefix": "Mrs.",
"credential": "BCBA LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "00211701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.