Brian Goldman Licensed Behavioral Analysis PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRIAN GOLDMAN LICENSED BEHAVIORAL ANALYSIS PLLC

Practice address

35 Lee Ave
East Williston, NY 11596-2424

Phone

(516) 376-2055

Fax

(800) 874-0959

NPI assigned

Apr 12, 2023

Last updated

May 12, 2023By 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

Mr. Brian Goldman, BCBA, LBA

Title

Owner

Phone

(516) 376-2055

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1538855796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LEE AVE",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115962424",
            "telephone_number": "516-376-2055",
            "fax_number": "800-874-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LEE AVE",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115962424",
            "telephone_number": "516-376-2055",
            "fax_number": "800-874-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN GOLDMAN LICENSED BEHAVIORAL ANALYSIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-376-2055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley D Adams, M.S. CCC-SLP
• Tricia Amico, L.AC.
• Kim Ann Barrett, LMSW
• Michael Thomas Bonacuso, ATC
• Jennifer Connolly, LMSW
• Christine Conte, OT
• Christina Martha Delgais, MA, OTR/L
• Katherine Garvey, ED.M
• Sarah Goodman, OTR/L

• Behavior Analyst in East Williston, NY
• Providers in East Williston, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.