SG Lisenced Behavior Analyst PC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SG LISENCED BEHAVIOR ANALYST PC

Practice address

31 Quads Way
Windham, NY 12496-5323

Phone

(917) 254-9292

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Svetlana GluzmanNPI 1801158316

Title

Ceo/President

Phone

(917) 254-9292

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.

• Svetlana Gluzman, BCBA

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1801158316
  NPD Authorized official

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1770141608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344440",
            "telephone_number": "917-254-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 QUADS WAY",
            "city": "WINDHAM",
            "state": "NY",
            "postal_code": "124965323",
            "telephone_number": "917-254-9292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112344440",
            "country_code": "US",
            "telephone_number": "917-254-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SG LISENCED BEHAVIOR ANALYST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "GLUZMAN",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "917-254-9292"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Anne Goettsche, MS,CCC-SLP
• Jeffrey Michael Gonzalez
• Robert Otten Jr., DC
• William Thomas Quackenbush III, RPH
• Rumi Sarkar
• Teri Martin Family Nurse Practitioner PC
• Town of Windham
• Ilse Berenice Turkmani
• Windham Ashland Jewett CSD
• Windham Pharma Inc

• All providers in Windham, NY
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.