Active NPI
Licensed Applied Behavior Analysis of Ny P.C.
- Behavior Analyst
- Garden City Park, NY
National Provider Identifier
1275920191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000094
- Legal business name
- LICENSED APPLIED BEHAVIOR ANALYSIS OF NY P.C.
- Practice address
- 2417 Jericho Tpke # 124
Garden City Park, NY 11040-4710 - Phone
- (516) 778-8871
- NPI assigned
- Apr 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mariann Lai, M.S.ED, S.A.S., BCBA
- Title
- Ceo & Founder
- Phone
- (516) 778-8871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 000094 | NY | Primary |
Addresses
Primary practice location
2417 Jericho Tpke # 124
Garden City Park, NY 11040-4710
Mailing address
2417 Jericho Turnpike #124
Garden City Park, NY 11410
Phone (516) 778-8871
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429228800000",
"number": "1275920191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 JERICHO TURNPIKE #124",
"city": "GARDEN CITY PARK",
"state": "NY",
"postal_code": "11410",
"telephone_number": "516-778-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 JERICHO TPKE # 124",
"city": "GARDEN CITY PARK",
"state": "NY",
"postal_code": "110404710",
"telephone_number": "516-778-8871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LICENSED APPLIED BEHAVIOR ANALYSIS OF NY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-17",
"last_updated": "2015-04-17",
"status": "A",
"authorized_official_last_name": "LAI",
"authorized_official_first_name": "MARIANN",
"authorized_official_title_or_position": "CEO & FOUNDER",
"authorized_official_telephone_number": "516-778-8871",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S.ED, S.A.S., BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.