Kristen Sima Naletilic

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

002245 Issued in NY

Practice address

1835 Summerfield Street
Ridgewood, NY 11385

Phone

(917) 474-3881

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Licensed Applied Behavior Analyst Group, PLLC

  • Community/Behavioral Health Agency
  • Massapequa, NY
  • NPI 1184021479
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386167005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SUMMERFIELD ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855820",
            "telephone_number": "917-474-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 SUMMERFIELD STREET",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "917-474-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALETILIC",
        "first_name": "KRISTEN",
        "middle_name": "SIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Sohail Mushtaq
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• Myuy Inc
• N L Rivera-de Jesus, Msed, Inc.
• Asim Naqvi
• Narinder Kukar Physician P C
• Houssam A Nasser, PHARM D
• Elona Natanova, RPH
• Nature Medical of New York P.C.

• Behavior Analyst in Ridgewood, NY
• Providers in Ridgewood, 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 21, 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.