Individual provider Active NPI

Carla Jean Waleski

  • Behavior Analyst
  • Pittsford, NY
National Provider Identifier
1619838364
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
004621 Issued in NY
Practice address
1160 Pittsford Victor Rd Ste B
Pittsford, NY 14534-3825
Phone
(585) 498-1840
NPI assigned
Nov 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 004621 NY Primary

Addresses

Primary practice location

1160 Pittsford Victor Rd Ste B
Pittsford, NY 14534-3825

Mailing address

7253 Montgomery LN
Victor, NY 14564-8957

Other practice location 1

6 N Main St Ste 110
Fairport, NY 14450-1581
Phone (585) 377-6590

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

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1619838364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7253 MONTGOMERY LN",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145648957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 PITTSFORD VICTOR RD STE B",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343825",
            "telephone_number": "585-498-1840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 N Main St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fairport",
            "state": "NY",
            "postal_code": "144501581",
            "country_code": "US",
            "telephone_number": "585-377-6590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALESKI",
        "first_name": "CARLA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "004621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.