Judy Roth, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

003161 Issued in NY

Practice address

134 Stockton St Apt 2B
Brooklyn, NY 11206-5688

Phone

(347) 263-3940

NPI assigned

May 23, 2017

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Judy Roth Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Impact Licensed Behavior Analysis PLLC

  dba Impact

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1205690203
  NPD Authorized official
• Achievers ABA LLC

  dba Impact ABA

  • Behavior Analyst
  • Paterson, NJ
  • NPI 1942075254
  NPD Authorized official

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1295263184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 STOCKTON ST APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 STOCKTON ST APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065688",
            "telephone_number": "347-263-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 Main St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075051814",
            "country_code": "US",
            "telephone_number": "718-963-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JUDY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "934942151",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "003161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "ROTH",
            "credential": "MS, BCBA, LBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hendl Roth
• Hindy Miriam Roth, LMHC
• Jason Roth, LCSW
• Jason Mathew Roth, MSPT
• Jennifer Nicole Roth, FNP
• Leah Roth, DMD
• Malcolm Zachary Roth, MD, FACS
• Malka Roth
• Melanie Roth, LMSW
• Natalie Roth, M.S. ED

• Behavior Analyst in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 16, 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.