Joshua Axelrod, BCBA
Individual provider Active NPI Behavior Analyst · Glen Head, NY
NPI 1366911547 · NPPES record last updated Nov 17, 2018
Key facts
- NPI
- 1366911547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-16-23562
- Practice address
- 11 Sheppard St
Glen Head, NY 11545-1815 - Phone
- (516) 768-2727
- NPI assigned
- Nov 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Networks
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-23562 | Yes |
Addresses
Primary practice location
11 Sheppard St
Glen Head, NY 11545-1815
Mailing address
11 Sheppard St
Glen Head, NY 11545-1815
Other providers in Glen Head, NY
- Augusto P. Angulo
- Caren Lynn Antonelli
- Tara Arutunian
- Veronica Attina
- Federica Avantaggiato
- Ayesha Assad Medical PLLC
- Mikhail Azernov
- Shameila Bacchus
- Beth P. Bailey
- Lauren Renee Baker
All providers in Glen Head, NY · Behavior Analyst in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.