Valerie Mazliah, MSED LBCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000038-1 Issued in NY

Practice address

88 Terry Rd
Smithtown, NY 11787-3811

Phone

(631) 873-5477

NPI assigned

May 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Social Skills for Children

  • Community/Behavioral Health Agency
  • Smithtown, NY
  • NPI 1275989162
  NPD (past) Authorized official

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1285082545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 TERRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 TERRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873811",
            "telephone_number": "631-873-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZLIAH",
        "first_name": "VALERIE",
        "credential": "MSED LBCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000038-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAQ",
            "identifier": "13591583",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Mauro, DO
• Julieann Rose Mauro, PMHNP
• Daniel Mayer, M.D.
• Bruce Roy Mayerson, MD
• Latoya Mayhurin
• Vincent M Mazurek, D.D.S.
• Katelyn Mazzaro
• Barbara D Mazzola, ANP
• Mary Jo McBride
• Lauren Stacie McCabe, LCSW

• Behavior Analyst in Smithtown, NY
• Providers in Smithtown, 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 May 27, 2016; 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.