Individual provider Active NPI

Vincent J Carbone, ED.D, BCBA-D

  • Behavior Analyst
  • Valley Cottage, NY
National Provider Identifier
1497180251
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA-D 1-00-0232 Issued in NY
Practice address
614 Corporate Way
Suite 1
Valley Cottage, NY 10989-2022
Phone
(845) 267-0920
NPI assigned
Sep 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 BCBA-D 1-00-0232 NY Primary

Addresses

Primary practice location

614 Corporate Way
Suite 1
Valley Cottage, NY 10989-2022

Mailing address

614 Corporate Way
Suite 1
Valley Cottage, NY 10989-2022
Phone (845) 267-0920

Other identifiers 1

IdentifierTypeStateIssuer
BCBA-D 1-00-0232OtherNYBACB

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent J Carbone, Ed.D., Bcba, LLC Dba Carbone Clinic Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1497180251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 CORPORATE WAY",
            "address_2": "SUITE 1",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892022",
            "telephone_number": "845-267-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 CORPORATE WAY",
            "address_2": "SUITE 1",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892022",
            "telephone_number": "845-267-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ED.D,    BCBA-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "BCBA-D 1-00-0232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "BCBA-D 1-00-0232",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Cottage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.