Active NPI
Ahron Grinbaum, BCBA, LBA-NY
- Behavior Analyst
- Spring Valley, NY
National Provider Identifier
1639991854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 003851-01
- Practice address
- 3 Asher Dr
Spring Valley, NY 10977-2786 - Phone
- (347) 343-0131
- NPI assigned
- Oct 29, 2024
- Last updated
- Oct 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 003851-01 | NY | Primary |
Addresses
Primary practice location
3 Asher Dr
Spring Valley, NY 10977-2786
Mailing address
15 Maple Leaf Rd
Monsey, NY 10952-3031
Phone (347) 343-0131
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003851-01 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1639991854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MAPLE LEAF RD",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523031",
"telephone_number": "347-343-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ASHER DR",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109772786",
"telephone_number": "347-343-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINBAUM",
"first_name": "AHRON",
"credential": "BCBA, LBA-NY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "003851-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.