Four Boroughs ABA

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

FOUR BOROUGHS ABA

Practice address

1344 E 24TH St
Brooklyn, NY 11210-5143

Phone

(347) 452-2665

NPI assigned

Oct 2, 2020

Organization subpart

No

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

Authorized official

Name

Simcha B Bendet

Title

Management Director

Phone

(347) 668-9113

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1336746403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105143",
            "telephone_number": "347-452-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR BOROUGHS ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "BENDET",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGEMENT DIRECTOR",
        "authorized_official_telephone_number": "347-668-9113"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@fourboroughsaba.com",
            "affiliation": "N",
            "address_1": "1344 E 24th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112105143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Developmental - Behavioral Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Developmental - Behavioral Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.