Momentum Licensed Behavior Analysis, PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MOMENTUM LICENSED BEHAVIOR ANALYSIS, PC

Practice address

3158 12TH St FL 2
Astoria, NY 11106-4804

Phone

(718) 730-2814

NPI assigned

Feb 26, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Jill Hickey, MA, BCBA, LBANPI 1982966917

Title

Owner/President

Phone

(718) 730-2814

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Hickey, PH.D., BCBA-D, LBA

  • Behavior Analyst
  • Astoria, NY
  • NPI 1982966917
  NPD (past) Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1487155362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 12TH ST FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 12TH ST FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064804",
            "telephone_number": "718-730-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM LICENSED BEHAVIOR ANALYSIS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-730-2814",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Ali Mohammad, PHARM.D.
• Roxana J Mohammad, CCC SLP
• Magdy Ibrahim Mohammed, MD
• Khadija Moharram
• Robert E Molle, MD
• Monarq Chiropractic Wellness
• Vivian Monsanto, MD
• Montefiore Medical Center
• Montefiore Medical Center
• Jaeyoung Moon, L.AC.

• Early Intervention Provider Agency in Astoria, NY
• Providers in Astoria, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.