Individual provider Active NPI

Anto Aghjayan, M.A., BCBA, NYS LBA

  • Behavior Analyst
  • Elmhurst, NY
National Provider Identifier
1710363643
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000543 Issued in NY
Practice address
8419 Corona Ave
Elmhurst, NY 11373-5838
Phone
(917) 535-4028
NPI assigned
Aug 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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 000543 NY Primary

Addresses

Primary practice location

8419 Corona Ave
Elmhurst, NY 11373-5838

Mailing address

8419 Corona Ave
Elmhurst, NY 11373-5838
Phone (917) 535-4028

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000543NYMDMental Health Counselor

Networks

  • Healthfirst Medicare Network H9678

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1710363643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8419 CORONA AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735838",
            "telephone_number": "917-535-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 CORONA AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735838",
            "telephone_number": "917-535-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHJAYAN",
        "first_name": "ANTO",
        "credential": "M.A., BCBA, NYS LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.