Organization Active NPI

Brave Hearts ABA Services LLC

  • Behavior Analyst
  • West Haverstraw, NY
National Provider Identifier
1447061619
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRAVE HEARTS ABA SERVICES LLC
Practice address
45 S Route 9W Ste 208
West Haverstraw, NY 10993-1053
Phone
(845) 499-9121
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Alexander Zola
Title
Director
Phone
(845) 499-9121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X

Addresses

Primary practice location

45 S Route 9W Ste 208
West Haverstraw, NY 10993-1053

Mailing address

45 S Route 9W Ste 208
West Haverstraw, NY 10993-1053

National Provider Directory

National Provider Directory

Locations

45 S Route 9W
Ste 208
West Haverstraw, NY 10993
Phone (845) 499-9121

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1447061619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S ROUTE 9W STE 208",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S ROUTE 9W STE 208",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931053",
            "telephone_number": "845-499-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE HEARTS ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "ZOLA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-499-9121"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haverstraw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.