NPIMap

Organization Active NPI

Functional Development Licensed Behavioral Analyst PC

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1427824879
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FUNCTIONAL DEVELOPMENT LICENSED BEHAVIORAL ANALYST PC
Practice address
2148 Ocean Ave Ste 302
Brooklyn, NY 11229-1484
Phone
(718) 732-2164
NPI assigned
Nov 28, 2023
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Ganna BartashevaNPI 1982019121
Title
Owner
Phone
(718) 732-2164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2148 Ocean Ave Ste 302
Brooklyn, NY 11229-1484

Mailing address

2148 Ocean Ave Ste 302
Brooklyn, NY 11229-1484

National Provider Directory

National Provider Directory

Locations

2148 Ocean Ave
Ste 302
Brooklyn, NY 11229
Phone (718) 375-2505

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1427824879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 OCEAN AVE STE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 OCEAN AVE STE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291484",
            "telephone_number": "718-732-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL DEVELOPMENT LICENSED BEHAVIORAL ANALYST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "BARTASHEVA",
        "authorized_official_first_name": "GANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-732-2164"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

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