Creative Licensed Behavior Analyst P.C.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CREATIVE LICENSED BEHAVIOR ANALYST P.C.

Practice address

6262 Woodhaven Blvd Apt S34
Rego Park, NY 11374-3726

Phone

(646) 384-2385

NPI assigned

Oct 21, 2016

Last updated

Oct 21, 2016By 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. Sibila Abramov, MA,BCBA, LBANPI 1427413582

Title

Owner

Phone

(646) 384-2385

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.

• Sibila Abramov

  • Behavior Analyst
  • Hollis, NY
  • NPI 1427413582
  NPD Authorized official

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1285185595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 WOODHAVEN BLVD APT S34",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 WOODHAVEN BLVD APT S34",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743726",
            "telephone_number": "646-384-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LICENSED BEHAVIOR ANALYST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "ABRAMOV",
        "authorized_official_first_name": "SIBILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-384-2385",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA,BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Rego Park, NY
• Providers in Rego 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 Oct 21, 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.