Individual provider Active NPI

Teressa Taurisani, M.A., BCBA, LBA

  • Behavior Analyst
  • Floral Park, NY
National Provider Identifier
1508578154
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
002445 Issued in NY
Practice address
8649 258TH St
Floral Park, NY 11001-1417
Phone
(929) 608-8303
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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 002445 NY Primary

Addresses

Primary practice location

8649 258TH St
Floral Park, NY 11001-1417

Mailing address

8649 258TH St
Floral Park, NY 11001-1417
Phone (929) 608-8303

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ttaurisani@branchoutbh.com Health Information Exchange (HIE) BRANCH OUT LICENSED BEHAVIOR ANALYSTS, PLLC

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
002445NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1508578154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8649 258TH ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011417",
            "telephone_number": "929-608-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8649 258TH ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011417",
            "telephone_number": "929-608-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAURISANI",
        "first_name": "TERESSA",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttaurisani@branchoutbh.com",
            "affiliation": "Y",
            "endpointDescription": "Encrypted business email",
            "affiliationName": "BRANCH OUT LICENSED BEHAVIOR ANALYSTS, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "81 Fleet Pl Apt 16C",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112018022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.