Active NPI
Lynette Jeffers
- Behavior Analyst
- New York, NY
National Provider Identifier
1396536967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1992130017
- Practice address
- 159 W 118TH St
New York, NY 10026-1854 - Phone
- (646) 524-5984
- NPI assigned
- May 14, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1992130017 | NY | Primary |
Addresses
Primary practice location
159 W 118TH St
New York, NY 10026-1854
Mailing address
1304 Sterling PL Apt 1L
Brooklyn, NY 11213-2823
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1992130017 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1396536967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 STERLING PL APT 1L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112132823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W 118TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261854",
"telephone_number": "646-524-5984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "LYNETTE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1992130017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.