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

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 and National Provider Directory roles.

• Impact Licensed Behavior Analysis PLLC

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

  • 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.