Andrea Mariana Leveridge, SPECIAL ED. TEACHER

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

637552121 Issued in NY

Practice address

348 E 146TH St
Bronx, NY 10451-5702

Phone

(718) 585-0600

NPI assigned

Jul 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Andrea Mariana Douglas Sarpong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1740535954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RUGBY DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674217",
            "telephone_number": "155-157-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 146TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515702",
            "telephone_number": "718-585-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERIDGE",
        "first_name": "ANDREA",
        "middle_name": "MARIANA",
        "name_prefix": "Ms.",
        "credential": "SPECIAL ED. TEACHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-14",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "637552121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DOUGLAS SARPONG",
            "middle_name": "MARIANA",
            "prefix": "MS.",
            "credential": "ABA SPECIALIST (MED)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Toni Michele Levato, RN
• Rachel Joan Levene, M.D.
• Jacob Levenson
• Judah Levenson, LMSW
• Shoshana Molly Menken Levenson
• Stephney Leveridge
• Michael Levgur, MD
• Daniela Levi, MD
• Idan Levi
• Sapir Victoria Levi, MD

• Behavior Analyst in Bronx, NY
• Providers in Bronx, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.