NPIMap

Organization Active NPI

Growing Licensed Behavior Analyst, PLLC

  • Behavior Analyst
  • Center Moriches, NY
National Provider Identifier
1326824327
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GROWING LICENSED BEHAVIOR ANALYST, PLLC
Practice address
3 Hampton Dr
Center Moriches, NY 11934-2704
Phone
(631) 599-9800
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Carly Pronsky, MA, LBA, BCBANPI 1326565888
Title
Founder
Phone
(631) 599-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

3 Hampton Dr
Center Moriches, NY 11934-2704

Mailing address

3 Hampton Dr
Center Moriches, NY 11934-2704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1326824327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HAMPTON DR",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HAMPTON DR",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342704",
            "telephone_number": "631-599-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING LICENSED BEHAVIOR ANALYST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "PRONSKY",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "631-599-9800",
        "authorized_official_credential": "MA, LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.