Individual provider Active NPI

Tara Helen Sovik-Bandel, BCBA, LBA

  • Behavior Analyst
  • Middletown, NY
National Provider Identifier
1225892623
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000459-01 Issued in NY
Practice address
2250 Goshen Tpke
Middletown, NY 10941-4031
Phone
(845) 673-5636
NPI assigned
Feb 7, 2024
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 000459-01 NY Primary

Addresses

Primary practice location

2250 Goshen Tpke
Middletown, NY 10941-4031

Mailing address

4 Scaglione CT
Highland Mills, NY 10930-2326
Phone (845) 535-1551

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
000459-01NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Tara L. Montemurro, Licensed Behavior Analyst, P.C CurrentSince Feb 11, 2024 Accepting new patients
Tara L. Montemurro, Licensed Behavior Analyst, P.C Behavior Analyst CurrentSince Feb 11, 2024 Accepting new patients

Locations

2250 Goshen Tpke
Middletown, NY 10941
Phone (845) 360-5744

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1225892623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SCAGLIONE CT",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109302326",
            "telephone_number": "845-535-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GOSHEN TPKE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414031",
            "telephone_number": "845-673-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVIK-BANDEL",
        "first_name": "TARA",
        "middle_name": "HELEN",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000459-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.