Jacqueline Rabbena

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1854 Hylan Blvd
Staten Island, NY 10305-2119

Phone

(212) 432-6613

NPI assigned

Apr 25, 2021

Last updated

Apr 25, 2021By 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 1

Addresses

Electronic endpoints 1

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": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1336721711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 GUNTON PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052119",
            "telephone_number": "212-432-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBENA",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "address_1": "36 Gunton Pl",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103091782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• R.W. Urbanek, M.D.,P.C.
• Ra Medical PC
• Ghaith Abdala Mohamad Rababah
• Mohamad Abdala Mohamad Rababah
• Jacob Rabadi, DO
• Alexander Stefan Raben
• Elena Rabinovich
• Ilona Rabinovich, FNP
• Marina Rabinovich, LCSW-R
• Yelena Rabinovich, PHARM.D

• Behavior Analyst in Staten Island, NY
• Providers in Staten Island, 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 Apr 25, 2021; 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.