Flourishing Minds Applied Behavior Analyst PC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FLOURISHING MINDS APPLIED BEHAVIOR ANALYST PC

Doing business as

Flourishing Minds Applied Behavior Analyst PC

Practice address

79 Raff Ave
Floral Park, NY 11001-3624

Phone

(848) 459-8885

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Campanaro

Title

Attorney at Law

Phone

(845) 221-4099

Specialties & licenses 1

Addresses

Other names 1

• Flourishing Minds Applied Behavior Analyst PC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1366177818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 WHITE PLAINS RD # 1082",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 RAFF AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013624",
            "telephone_number": "848-459-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISHING MINDS APPLIED BEHAVIOR ANALYST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "CAMPANARO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ATTORNEY AT  LAW",
        "authorized_official_telephone_number": "845-221-4099"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@flourishingmindsinclusive.com",
            "affiliation": "N",
            "endpointDescription": "direct info email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2040 White Plains Rd",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104621464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Flourishing Minds Applied Behavior Analyst PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Floral Park, 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 Jul 19, 2022; 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.