Organization Active NPI

Five Boroughs Applied Behavior Analysis PC

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1730892662
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.