Individual provider Active NPI

Bracha Wiesenfeld, LBA

  • Behavior Analyst
  • Ramsey, NJ
National Provider Identifier
1285180810
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001534 Issued in NY
Practice address
500 N Franklin Tpke Ste 311
Ramsey, NJ 07446-1160
Phone
(317) 676-4700
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Specialist 174400000X NY
Behavior Analyst 103K00000X 001534 NY Primary

Addresses

Primary practice location

500 N Franklin Tpke Ste 311
Ramsey, NJ 07446-1160

Mailing address

6 Beaver Dam Rd
Pomona, NY 10970-3204
Phone (347) 494-2170

Other practice location 1

1312-38 street
Brooklyn, NY 11218
Phone (718) 686-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001534NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Hearts ABA NJ LLC Behavior Analyst CurrentSince Mar 12, 2024 Accepting new patients

Locations

500 N Franklin Tpke
Ste 311
Ramsey, NJ 07446
Phone (317) 676-4700

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1285180810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BEAVER DAM RD",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703204",
            "telephone_number": "347-494-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N FRANKLIN TPKE STE 311",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461160",
            "telephone_number": "317-676-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312-38 street",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11218",
            "country_code": "US",
            "telephone_number": "718-686-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESENFELD",
        "first_name": "BRACHA",
        "credential": "LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.