Teamwork Licensed Behavior Analyst Services, PLLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

TEAMWORK LICENSED BEHAVIOR ANALYST SERVICES, PLLC

Practice address

127 W 30TH St
New York, NY 10001-3406

Phone

(646) 410-5871

Fax

(347) 619-0735

NPI assigned

Jun 6, 2022

Last updated

Jun 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nia WaterhouseNPI 1396464962

Title

Behavior Technician

Phone

(954) 701-4632

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, and the practitioner matching its NPPES authorized official.

• Nia Waterhouse

  • Behavior Technician
  • New York, NY
  • NPI 1396464962
  Authorized official Same address or phone

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1528797735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W 30TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013406",
            "telephone_number": "646-410-5871",
            "fax_number": "347-619-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W 30TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013406",
            "telephone_number": "646-410-5871",
            "fax_number": "347-619-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMWORK LICENSED BEHAVIOR ANALYST SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "WATERHOUSE",
        "authorized_official_first_name": "NIA",
        "authorized_official_title_or_position": "BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "954-701-4632"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in New York, NY
• Providers in New York, 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 Jun 6, 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.