Organization Active NPI

Licensed Applied Behavior Analysis of Ny P.C.

  • Behavior Analyst
  • Garden City Park, NY
National Provider Identifier
1275920191
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.