Fundation Abc LLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

FUNDATION ABC LLC

Practice address

1360 Ocean Pkwy Apt 3G
Brooklyn, NY 11230-5627

Phone

(347) 583-4570

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Danielle GeorgeNPI 1841723608

Title

Special Educator

Phone

(347) 583-4570

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.

• Danielle George

  • Specialist
  • New York, NY
  • NPI 1841723608
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1740965797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 OCEAN PKWY APT 3G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 OCEAN PKWY APT 3G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305627",
            "telephone_number": "347-583-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDATION ABC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "SPECIAL EDUCATOR",
        "authorized_official_telephone_number": "347-583-4570"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Development Licensed Behavioral Analyst PC
• Functional Living Occupational Therapy, P.L.L.C.
• Functional Rehabilitation Medicine PC
• Ruchama Seidman Fund, PH.D.
• Charles A. Fundaro, D.C.
• Patricia Yamileth Funes Martinez
• Ming Fung-Chiu, PHARMD
• Amy Fung
• David W Fung
• Deborah K Fung, LCAT

• Behavior Technician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.