Organization Active NPI

Licensed Behavior Analyst Support PLLC

  • Behavior Analyst
  • Airmont, NY
National Provider Identifier
1235822735
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LICENSED BEHAVIOR ANALYST SUPPORT PLLC
Practice address
444 Saddle River Rd
Airmont, NY 10952-4918
Phone
(718) 541-2476
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Hannah FriedmanNPI 1972248144
Title
Owner
Phone
(718) 541-2476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

444 Saddle River Rd
Airmont, NY 10952-4918

Mailing address

444 Saddle River Rd
Airmont, NY 10952-4918
Phone (718) 541-2476

National Provider Directory

National Provider Directory

Locations

444 Saddle River Rd
Airmont, NY 10952
Phone (718) 541-2476

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1235822735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SADDLE RIVER RD",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109524918",
            "telephone_number": "718-541-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SADDLE RIVER RD",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109524918",
            "telephone_number": "718-541-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICENSED BEHAVIOR ANALYST SUPPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-541-2476"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Airmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.