Individual provider Active NPI

Aimee Francine Stark, MS SPEC ED

  • Behavior Analyst
  • Mount Kisco, NY
National Provider Identifier
1417195579
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
041833011 Issued in NY
Practice address
65 Park Dr
Mount Kisco, NY 10549-1121
Phone
(914) 864-0908
Fax
(914) 218-8472
NPI assigned
Jan 28, 2009
Last updated
Jan 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 041833011 NY Primary

Addresses

Primary practice location

65 Park Dr
Mount Kisco, NY 10549-1121

Mailing address

65 Park Dr
Mount Kisco, NY 10549-1121
Phone (914) 864-0908

Other names 1

  • Miss Aimee Forman Former name

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 Science

State licenses

LicenseStateTypeSpecialty
041833011NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1417195579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PARK DR",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491121",
            "telephone_number": "914-864-0908",
            "fax_number": "914-218-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PARK DR",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491121",
            "telephone_number": "914-864-0908",
            "fax_number": "914-218-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "AIMEE",
        "middle_name": "FRANCINE",
        "name_prefix": "Mrs.",
        "credential": "MS SPEC ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "041833011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "FORMAN",
            "prefix": "MISS",
            "credential": "MS SPEC ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.