Organization Active NPI

Sunrise Licensed Behavioral Analyst

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1710757638
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUNRISE LICENSED BEHAVIORAL ANALYST
Doing business as
Sunrise Licensed Behavioral Analyst
Practice address
204 Wilson St
Brooklyn, NY 11211-7595
Phone
(917) 890-4383
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Devorah Rosenfeld, MS ED, BCBA LBANPI 1861733958
Title
Owner
Phone
(917) 890-4383

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

204 Wilson St
Brooklyn, NY 11211-7595

Mailing address

204 Wilson St
Brooklyn, NY 11211-7595
Phone (917) 890-4383

Other names 1

  • Sunrise Licensed Behavioral Analyst Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1710757638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WILSON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117595",
            "telephone_number": "917-890-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WILSON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117595",
            "telephone_number": "917-890-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE LICENSED BEHAVIORAL ANALYST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "DEVORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-890-4383",
        "authorized_official_credential": "MS ED, BCBA LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Licensed Behavioral Analyst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.