Individual provider Active NPI

Victoria A Mauleon, M.S.ED.

  • Behavior Analyst
  • Centereach, NY
National Provider Identifier
1447682638
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
18 Towne LN
Centereach, NY 11720-2825
Phone
(516) 983-2643
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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 NY Primary

Addresses

Primary practice location

18 Towne LN
Centereach, NY 11720-2825

Mailing address

18 Towne LN
Centereach, NY 11720-2825
Phone (516) 983-2643

Other names 1

  • Victoria A Bottstein 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

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1447682638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 TOWNE LN",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202825",
            "telephone_number": "516-983-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 TOWNE LN",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202825",
            "telephone_number": "516-983-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULEON",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.S.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "BOTTSTEIN",
            "middle_name": "A",
            "credential": "M.S.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.