Shalom ABA Support Licensed Behavior Analyst PC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHALOM ABA SUPPORT LICENSED BEHAVIOR ANALYST PC

Practice address

681 Chestnut Ridge Ave
Monsey, NY 10952-1095

Phone

(845) 400-9870

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Moshe A Waldman

Title

President

Phone

(917) 676-7251

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1427756477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROSE GARDEN WAY",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109527623",
            "telephone_number": "917-676-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 CHESTNUT RIDGE AVE",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521095",
            "telephone_number": "845-400-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM ABA SUPPORT LICENSED BEHAVIOR ANALYST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-676-7251"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Monsey, NY
• Providers in Monsey, 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 Feb 20, 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.