Active NPI
Five Boroughs Applied Behavior Analysis PC
- Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1730892662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- FIVE BOROUGHS APPLIED BEHAVIOR ANALYSIS PC
- Practice address
- 117 Ditmas Ave
Brooklyn, NY 11218-4901 - Phone
- (718) 534-7400
- NPI assigned
- Jan 5, 2023
- Last updated
- Jan 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Menashe Eisen
- Title
- Owner
- Phone
- (718) 551-4980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
117 Ditmas Ave
Brooklyn, NY 11218-4901
Mailing address
117 Ditmas Ave
Brooklyn, NY 11218-4901
Phone (718) 534-7400
National Provider Directory
National Provider DirectoryLocations
117 Ditmas Ave
Brooklyn, NY 11218
Phone (718) 534-7400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1730892662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 DITMAS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184901",
"telephone_number": "718-534-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 DITMAS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184901",
"telephone_number": "718-534-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE BOROUGHS APPLIED BEHAVIOR ANALYSIS PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "EISEN",
"authorized_official_first_name": "MENASHE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-551-4980"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Megan Ann Fitzpatrick, L.AC., MSTOM
- Andrea Marie Fiume, LCSW
- Five Boro Medical Transportation
- Five Borough Home Care, Inc
- Five Borough Home Care, Inc
- Five County Surgical Supply Co. Inc
- Five Crest Medical Diagnostic P.C.
- Five Star Exams
- Five Star Home Health Care Agency
- Five Star Home Health Care Agency
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.