Natalia Derouga, MASTER OF SCIENCE

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1776181241 Issued in NY

Practice address

1045 Bay Ridge Ave Apt 3B
Brooklyn, NY 11219-6050

Phone

(732) 476-9257

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1336981638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 BAY RIDGE AVE APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112196050",
            "telephone_number": "732-476-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 BAY RIDGE AVE APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112196050",
            "telephone_number": "732-476-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROUGA",
        "first_name": "NATALIA",
        "credential": "MASTER OF SCIENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1776181241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julisa Allison Derose, PA-C
• Caroline Derosena
• Reginald Derosena, PA
• Vanessa Lauren Derossi, SLP
• Kyle Derouen, D.O.
• Maxine Derrick
• Shafana Derrick
• Hanna McIntosh Derrig, LMSW
• Heather Derry Vick, PHD
• Talya Dersarkissian, M.S.,CCC-SLP

• 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 Jun 10, 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.