Organization Active NPI

Marra Glick Applied Behavior Solutions

  • Behavior Analyst
  • Commack, NY
National Provider Identifier
1528486958
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MARRA GLICK APPLIED BEHAVIOR SOLUTIONS
Practice address
150 Veterans Memorial Hwy
Ste 1365
Commack, NY 11725-6503
Phone
(631) 479-2900
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Mrs. Patricia D Glick, M.A.,M.ED., BCBANPI 1548517394
Title
Executive Director
Phone
(631) 479-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

150 Veterans Memorial Hwy
Ste 1365
Commack, NY 11725-6503

Mailing address

150 Veterans Memorial Hwy
Ste 1365
Commack, NY 11725-6503
Phone (631) 479-2900

National Provider Directory

National Provider Directory

Locations

150 Veterans Memorial Hwy
Unit 1365
Commack, NY 11725
Phone (631) 403-7776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1528486958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 VETERANS MEMORIAL HWY",
            "address_2": "STE 1365",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256503",
            "telephone_number": "631-479-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VETERANS MEMORIAL HWY",
            "address_2": "STE 1365",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256503",
            "telephone_number": "631-479-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRA GLICK APPLIED BEHAVIOR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-479-2900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.