Active NPI
Rosanidia Velasquez, BACHELOR'S DEGREE
- Assistant Behavior Analyst
- Middle Village, NY
National Provider Identifier
1740761048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 103K00000X
- Practice address
- 6202 62ND Ave FL 1
Middle Village, NY 11379-1011 - Phone
- (917) 688-6699
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 103K00000X | NY | Primary |
Addresses
Primary practice location
6202 62ND Ave FL 1
Middle Village, NY 11379-1011
Mailing address
6206 62ND Ave
Middle Village, NY 11379-1011
Phone (917) 686-6996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930220023 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103K00000X | NY | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1740761048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 62ND AVE",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791011",
"telephone_number": "917-686-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6202 62ND AVE FL 1",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791011",
"telephone_number": "917-688-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "ROSANIDIA",
"name_prefix": "Mrs.",
"credential": "BACHELOR'S DEGREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NY",
"license": "103K00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "930220023",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.