Active NPI
Sidrah Usman, BCBA
- Behavior Analyst
- Dix Hills, NY
National Provider Identifier
1336833904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-65611
- Practice address
- 1039 Commack Rd
Dix Hills, NY 11746-8208 - Phone
- (516) 641-9004
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-65611 | NY | Primary |
Addresses
Primary practice location
1039 Commack Rd
Dix Hills, NY 11746-8208
Mailing address
978 Route 45 Ste 106
Pomona, NY 10970-3521
Phone (845) 327-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1336833904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 ROUTE 45 STE 106",
"city": "POMONA",
"state": "NY",
"postal_code": "109703521",
"telephone_number": "845-327-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 COMMACK RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117468208",
"telephone_number": "516-641-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USMAN",
"first_name": "SIDRAH",
"name_prefix": "Miss",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1-23-65611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.