Individual provider Active NPI

Liliane Deaguiar-Rocha, BCBA, L.B.A.

  • Behavior Analyst
  • Massapequa Park, NY
National Provider Identifier
1649687542
Registry record updated Jul 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000133 Issued in NY
Practice address
267 Violet St
Massapequa Park, NY 11762-1257
Phone
(646) 361-1962
NPI assigned
Jul 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2014

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 000133 NY Primary

Addresses

Primary practice location

267 Violet St
Massapequa Park, NY 11762-1257

Mailing address

267 Violet St
Massapequa Park, NY 11762-1257
Phone (646) 361-1962

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

LicenseStateTypeSpecialty
000133NYMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405209600000",
    "number": "1649687542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 VIOLET ST",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621257",
            "telephone_number": "646-361-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 VIOLET ST",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621257",
            "telephone_number": "646-361-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAGUIAR-ROCHA",
        "first_name": "LILIANE",
        "credential": "BCBA, L.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2014-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; 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.