Lilly Kantawang, BCBA LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1123 Dickens St
Far Rockaway, NY 11691-2301

Phone

(347) 369-2733

NPI assigned

Nov 24, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1649677352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 TOWER RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043655",
            "telephone_number": "347-369-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 DICKENS ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912301",
            "telephone_number": "347-369-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTAWANG",
        "first_name": "LILLY",
        "credential": "BCBA LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kamelhar, MSW
• Pearl Kamin, MS/CCC-SLP
• Faigy Kaminetzky, MASTERS
• Ester Kandova, D.O
• Reva Kanner
• Brocha Ethel Kaplan, OTR/L
• Shoshana Kaplan, LMSW
• Joseph Kaplovitz, D.O.
• Michelle Karfinkel
• Daphne Karidas, LMSW

• All providers in Far Rockaway, NY
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.