Tara Cardenas, M ED., BCBA, LBA
Individual provider Active NPI Behavior Analyst · Malverne, NY
NPI 1679828107 · NPPES record last updated Sep 22, 2023
Key facts
- NPI
- 1679828107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 000437-01 (NY)
- Practice address
- 79 Walker St
Malverne, NY 11565-1830 - Phone
- (917) 627-9404
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000437-01 | NY | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 000437-01 | NY | Yes |
Addresses
Primary practice location
79 Walker St
Malverne, NY 11565-1830
Mailing address
79 Walker St
Malverne, NY 11565-1830
Phone (917) 725-1779
Other providers in Malverne, NY
- Ariana Catherine Brunjes
- Melissa Brunjes
- Adrianna Calabro
- Danielle F Cameron
- William F. Campbell
- James Cardito
- Katherine Mary Carney
- Marie A. Carrese
- Joyton Castelino
- Tanya Castro
All providers in Malverne, NY · Behavior Analyst in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.