Active NPI
Regine Colin, TEACHER
- Assistant Behavior Analyst
- Valley Stream, NY
National Provider Identifier
1669054177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 23 Marlow Rd
Valley Stream, NY 11580-3705 - Phone
- (516) 884-7742
- Fax
- (516) 561-5358
- NPI assigned
- Apr 23, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | MH | Primary |
Addresses
Primary practice location
23 Marlow Rd
Valley Stream, NY 11580-3705
Mailing address
895 Centennial Ave # 895
North Baldwin, NY 11510-1914
Phone (917) 776-4106
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Designing Futures Inc. | Past | Accepting new patients | |
| Designing Futures, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Valley Stream, NY
- NPI 1811286461
-
- Early Intervention Provider Agency
- Valley Stream, NY
- NPI 1083042592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1669054177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 CENTENNIAL AVE # 895",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101914",
"telephone_number": "917-776-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 MARLOW RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115803705",
"telephone_number": "516-884-7742",
"fax_number": "516-561-5358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLIN",
"first_name": "REGINE",
"credential": "TEACHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-23",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "MH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.