Active NPI
Jessica-Lyn Barry
- Behavior Analyst
- East Northport, NY
National Provider Identifier
1750010393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 002207-01
- Practice address
- 229 Laurel Rd
East Northport, NY 11731-1118 - Phone
- (631) 489-7088
- NPI assigned
- Jun 8, 2022
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 002207-01 | NY | Primary |
Addresses
Primary practice location
229 Laurel Rd
East Northport, NY 11731-1118
Mailing address
91 Tulip Ave Apt HC 4
Floral Park, NY 11001-1977
Phone (516) 526-7088
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 |
|---|---|---|---|
| 002207-01 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1750010393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 TULIP AVE APT HC 4",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110011977",
"telephone_number": "516-526-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 LAUREL RD",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117311118",
"telephone_number": "631-489-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "JESSICA-LYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "002207-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.