Individual provider Active NPI

Marie Krystel Borras Stankov, BCBA, NYS-LBA

  • Behavior Analyst
  • New Rochelle, NY
National Provider Identifier
1659918449
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
002444 Issued in NY
Practice address
466 Main St # LL20
New Rochelle, NY 10801-6431
Phone
(800) 679-3609
NPI assigned
Nov 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X
Behavior Analyst 103K00000X 002444 NY Primary

Addresses

Primary practice location

466 Main St # LL20
New Rochelle, NY 10801-6431

Mailing address

6421 Booth St Apt 1G
Rego Park, NY 11374-3025
Phone (347) 580-0787

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

Networks

  • Healthfirst Medicare Network H9678

NPI Registry JSON

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1659918449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 BOOTH ST APT 1G",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743025",
            "telephone_number": "347-580-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 MAIN ST # LL20",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016431",
            "telephone_number": "800-679-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKOV",
        "first_name": "MARIE KRYSTEL",
        "middle_name": "BORRAS",
        "credential": "BCBA, NYS-LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.