Organization Active NPI

Warwick Valley Licensed Behavior Analysts PC

  • Behavior Analyst
  • Warwick, NY
National Provider Identifier
1699252775
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WARWICK VALLEY LICENSED BEHAVIOR ANALYSTS PC
Practice address
2 Robin Brae
Warwick, NY 10990-1103
Phone
(845) 290-2159
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Alicemarie Tennyson, BCBA LBANPI 1932461993
Title
President
Phone
(845) 290-2159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2 Robin Brae
Warwick, NY 10990-1103

Mailing address

2 Robin Brae
Warwick, NY 10990-1103
Phone (845) 290-2159

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1699252775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROBIN BRAE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901103",
            "telephone_number": "845-290-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROBIN BRAE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901103",
            "telephone_number": "845-290-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARWICK VALLEY LICENSED BEHAVIOR ANALYSTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "TENNYSON",
        "authorized_official_first_name": "ALICEMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-290-2159",
        "authorized_official_credential": "BCBA LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.