Individual provider Active NPI

Adrienne M Maviglia, BCBA

  • Behavior Analyst
  • Goshen, NY
National Provider Identifier
1598003998
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-6391 Issued in NY
Practice address
60 Erie St Ste 304
#6
Goshen, NY 10924-1531
Phone
(845) 294-1882
Fax
(888) 257-0103
NPI assigned
Jan 21, 2013
Last updated
Jan 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 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 1-09-6391 NY Primary

Addresses

Primary practice location

60 Erie St Ste 304
#6
Goshen, NY 10924-1531

Mailing address

7 Colt CT
Goshen, NY 10924-1201
Phone (845) 294-1882

Other names 1

  • Mrs. Adrienne M Maviglia Professional name

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
Hudson Valley Young Achievers LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1598003998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COLT CT",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241201",
            "telephone_number": "845-294-1882",
            "fax_number": "888-257-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ERIE ST STE 304",
            "address_2": "#6",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241531",
            "telephone_number": "845-294-1882",
            "fax_number": "888-257-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVIGLIA",
        "first_name": "ADRIENNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-09-6391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "MAVIGLIA",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.