Licensed Applied Behavior Analysis of Ny P.C.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000094 Issued in NY

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

Last updated

Apr 17, 2015By the provider in NPPES

Organization subpart

No

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., BCBANPI 1003118597

Title

Ceo & Founder

Phone

(516) 778-8871

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariann Lai, BCBA

  • Behavior Analyst
  • Garden City Park, NY
  • NPI 1003118597
  Authorized official Same address or phone

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": []
}

• Lauren Elizabeth Krupa
• Kschwetz Professional Services Inc
• Mariann Lai, BCBA
• Joseph Allan Larsen, D.P.M
• Larry Bruce Levy, RPH
• Linette J Giuliano LCSW PC (Soul Savvy Counseling Services)
• Susana Long, MSED
• Ronen Malakov
• Anne McAree, RN
• Sandy McCabe, RN

• Behavior Analyst in Garden City Park, NY
• Providers in Garden City Park, NY by specialty
• Behavior Analyst in New York

• 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.

Verify at the official NPI Registry.