Individual provider Active NPI

Fruma Borzikowsky, M.S., BCBA

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1770847741
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11725108 Issued in NY
Practice address
1905 59TH St
Brooklyn, NY 11204-2341
Phone
(347) 263-1966
Fax
(718) 236-1202
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Behavior Analyst 103K00000X 11725108 NY Primary

Addresses

Primary practice location

1905 59TH St
Brooklyn, NY 11204-2341

Mailing address

1905 59TH St
Brooklyn, NY 11204-2341
Phone (718) 236-1202

Other names 1

  • Fruma Feller Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11725108NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770847741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042341",
            "telephone_number": "718-236-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042341",
            "telephone_number": "347-263-1966",
            "fax_number": "718-236-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORZIKOWSKY",
        "first_name": "FRUMA",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "11725108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRUMA",
            "last_name": "FELLER",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.