Individual provider Active NPI

Florence Bruckman, M.S. ED, BCBA

  • Behavior Analyst
  • Suffern, NY
National Provider Identifier
1598279846
Registry record updated Nov 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
222 Route 59
Suffern, NY 10901-5204
Phone
(845) 477-5000
NPI assigned
Nov 23, 2017
Last updated
Nov 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2017

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 Primary

Addresses

Primary practice location

222 Route 59
Suffern, NY 10901-5204

Mailing address

2 Hillel CT
Monsey, NY 10952-1734
Phone (845) 538-1229

Other names 1

  • Florence Slomiuc Former 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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Horizons Applied Behavior Analysis PLLC Behavior Analyst Current 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": "1511395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511395200000",
    "number": "1598279846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HILLEL CT",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521734",
            "telephone_number": "845-538-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015204",
            "telephone_number": "845-477-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKMAN",
        "first_name": "FLORENCE",
        "name_prefix": "Mrs.",
        "credential": "M.S. ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-23",
        "last_updated": "2017-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORENCE",
            "last_name": "SLOMIUC",
            "credential": "M.S. ED, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2017; 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.