Individual provider Active NPI

Maziar Golshannejad, MS ED, LBA

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1346650488
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001920-01 Issued in NY
Practice address
1551 E 37TH St
Brooklyn, NY 11234-3417
Phone
(347) 385-5904
NPI assigned
Apr 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Behavior Analyst 103K00000X 001920-01 NY Primary

Addresses

Primary practice location

1551 E 37TH St
Brooklyn, NY 11234-3417

Mailing address

1685 E 5TH St Apt 6G
Brooklyn, NY 11230-6914
Phone (347) 385-5904

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001920-01NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Licensed Behavior Analysts PLLC Behavior Analyst Current Accepting new patients
Texas Applied Behavior Specialists PLLC Behavior Analyst Current Accepting new patients
Buckeye Behavioral Consulting Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1346650488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 E 5TH ST APT 6G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306914",
            "telephone_number": "347-385-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E 37TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343417",
            "telephone_number": "347-385-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLSHANNEJAD",
        "first_name": "MAZIAR",
        "name_prefix": "Mr.",
        "credential": "MS ED, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001920-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.