Individual provider Active NPI

Sofija Sonja Galic, M.A. BCBA CBA

  • Behavior Analyst
  • Bronx, NY
National Provider Identifier
1396090494
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
002067-01 Issued in NY
Practice address
120 Benchely Place
Front 2
Bronx, NY 10475-3402
Phone
(347) 843-7760
Fax
(347) 843-7780
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Behavior Analyst 103K00000X 002067-01 NY Primary

Addresses

Primary practice location

120 Benchely Place
Front 2
Bronx, NY 10475-3402

Mailing address

151 1St Ave Apt
Apt 117
New York, NY 10003
Phone (917) 583-3730

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 Arts

State licenses

LicenseStateTypeSpecialty
002067-01NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Rimisac Family Health NP PC CurrentSince Dec 3, 2023 Accepting new patients
Rimisac Family Health NP PC CurrentSince Dec 3, 2023 Accepting new patients

Locations

120 Benchley Pl
Frnt 2
Bronx, NY 10475
Phone (347) 843-7760

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1396090494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 1ST AVE APT",
            "address_2": "APT 117",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "917-583-3730",
            "fax_number": "518-777-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BENCHELY PLACE",
            "address_2": "FRONT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753402",
            "telephone_number": "347-843-7760",
            "fax_number": "347-843-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALIC",
        "first_name": "SOFIJA",
        "middle_name": "SONJA",
        "name_prefix": "Ms.",
        "credential": "M.A. BCBA CBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002067-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.