Nancy Boucicault

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

11333 204TH St FL 1
Saint Albans, NY 11412-2534

Phone

(347) 383-1509

NPI assigned

Apr 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Fleurival Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1285480533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 WARWICK ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077448",
            "telephone_number": "347-383-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 204TH ST FL 1",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122534",
            "telephone_number": "347-383-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCICAULT",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-27",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "FLEURIVAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bonavera Acupuncture P.C.
• Justine A Bonet, RN
• Rianne A Bonitto, RPH, PHARM.D
• Tesha Bonner-Flowers, RN
• Indira Bonny, LPN
• Ashlie Bourne
• Ayanna Brabham, MSED
• Cheryl E Brabham, M.S.ED
• Josette Iola Brand, MSOTR/L
• Conetta Embodu Natasha Brantch

• Behavior Analyst in Saint Albans, NY
• Providers in Saint Albans, 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 Mar 18, 2025; 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.