James Manchack, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000745 Issued in NY

Practice address

49 Dewhurst St
Staten Island, NY 10314-5005

Phone

(718) 737-8145

NPI assigned

May 19, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396272407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 DEWHURST ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145005",
            "telephone_number": "718-737-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 DEWHURST ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145005",
            "telephone_number": "718-737-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHACK",
        "first_name": "JAMES",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Temeselew Mamo, MD
• Robert Agatino Manaro, M.D.,
• Medina Manashirova, RN
• Jessica Leigh Mancato
• Vannesa Mancero, LMHC
• Umesh Kumar Manchandani, M.B.B.S
• Michele Lynn Manchester, PT
• Deborah Mancini, MSED
• Lauriann Mancini, PH.D.
• Rosanna Mancini

• Behavior Analyst in Staten Island, NY
• Providers in Staten Island, 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.