Stacy Taveras

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

4516 202ND St
Bayside, NY 11361-3033

Phone

(917) 345-1280

NPI assigned

Oct 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1447700133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 202ND ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 202ND ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613033",
            "telephone_number": "917-345-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riza Tan
• Stella Ei Be Tan, D.D.S
• Xiaofang Tan, RDN, CDN
• Jessica N Tasca, PH.D.
• Melissa Tavarez, B.A.
• Carol Linda Tenti, R.N.
• Terrace Medical, PC
• Anna Terrebetzky
• Roman Tetelbaum, OTR/L
• Malvi Thakker

• Assistant Behavior Analyst in Bayside, NY
• Providers in Bayside, NY by specialty
• Assistant Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.