Licensed Behavior Analyst L Bogdan PC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LICENSED BEHAVIOR ANALYST L BOGDAN PC

Practice address

41 Stonegate Dr
Staten Island, NY 10304-4432

Phone

(347) 414-6195

NPI assigned

Aug 26, 2022

Last updated

Aug 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Liliya Bogdan, BCBA LBA MS.EDNPI 1144581299

Title

President

Phone

(347) 414-6195

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Licensed Behavior Analyst L Bogdan PC Former legal business name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Liliya Bogdan, MS

  • Specialist
  • Staten Island, NY
  • NPI 1144581299

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1770202236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 STONEGATE DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044432",
            "telephone_number": "347-414-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 STONEGATE DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044432",
            "telephone_number": "347-414-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICENSED BEHAVIOR ANALYST L BOGDAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "BOGDAN",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-414-6195",
        "authorized_official_credential": "BCBA LBA MS.ED"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144581299",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bogdan_liliya@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NPA",
            "address_1": "41 Stonegate Dr",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103044432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Licensed Behavior Analyst L Bogdan PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jeffrey Paul Licata, PA-C
• Stephen Licata, P.T.
• Francine Licausi, RN
• Kandace R Licciardi, M.D.
• Bianca Licea
• Perri Lichtenstadter
• Dorin Liconti, RPA-C
• Howard Ira Allan Lieb, D.M.D.
• Dawn Lieberman, RN
• Gina Lieberman

• Behavior Analyst in Staten Island, NY
• Providers in Staten Island, 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 Aug 26, 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.