Rene J Niessner, BT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB660718 Issued in IL

Practice address

247 Skillman Ave Apt 1
Brooklyn, NY 11211-1967

Phone

(347) 619-7924

NPI assigned

Sep 18, 2023

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

Credentials

Bachelor of Theology

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1477331908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 UNION SQUARE WEST",
            "address_2": "FRNT 1 #1227",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100030060",
            "telephone_number": "347-619-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 SKILLMAN AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111967",
            "telephone_number": "347-619-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESSNER",
        "first_name": "RENE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "BT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "BACB660718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Nielsen, PA
• Kendra Nielsen
• Yumi Nielsen, LCSW
• Adam Michael Niemuth, D.O.
• Mary Lynn Nierodzik, MD
• Beth Niestemski, LCSW
• Alexandra Nieto, PA-C
• Nereida Nieto
• Newman N Nieto, MHC-LP, CASAC2
• Patricia Nieves Morillo

• Behavior Technician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.