Excel Together Licensed Behavior Analysis, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EXCEL TOGETHER LICENSED BEHAVIOR ANALYSIS, PLLC

Practice address

14820 9TH Ave
Whitestone, NY 11357-1630

Phone

(646) 549-6291

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Miss Jessica ChanNPI 1033707153

Title

Owner

Phone

(646) 549-6291

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jessica Chan, MS.ED., BCBA

  • Behavior Analyst
  • Fresh Meadows, NY
  • NPI 1033707153
  NPD Authorized official

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1720818230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14820 9TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571630",
            "telephone_number": "646-549-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14820 9TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571630",
            "telephone_number": "646-549-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL TOGETHER LICENSED BEHAVIOR ANALYSIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-549-6291",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sibylle Erick
• Maryam Eshaghrashti
• Paola N Espinoza-Narvaez
• Amanda Victoria Esposito
• Julia Everitt
• Kenneth E Ezimoha, MD
• Curt Faden, LCSW-R ACSW
• Gaelle Anta Fall-Koffi
• Ki Sum Fan
• Fani Dourakis Therapies

• Community/Behavioral Health Agency in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.