NPIMap

Organization Active NPI

Marra & Glick Applied Behavior Analysts, PLLC

  • Behavior Analyst
  • Islandia, NY
National Provider Identifier
1770989956
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MARRA & GLICK APPLIED BEHAVIOR ANALYSTS, PLLC
Practice address
1737 Veterans Memorial Hwy Ste 1
Islandia, NY 11749-1529
Phone
(631) 479-2900
Fax
(631) 417-3048
NPI assigned
Nov 14, 2014
Last updated
Jan 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Patricia D Glick, BCBA, LBANPI 1548517394
Title
Ceo
Phone
(631) 479-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1737 Veterans Memorial Hwy Ste 1
Islandia, NY 11749-1529

Mailing address

1737 Veterans Memorial Hwy Ste 1
Islandia, NY 11749-1529
Phone (631) 479-2900

National Provider Directory

National Provider Directory

Locations

1737 Veterans Memorial Hwy
Ste 1
Islandia, NY 11749
Phone (631) 479-2900

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1770989956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 VETERANS MEMORIAL HWY STE 1",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491529",
            "telephone_number": "631-479-2900",
            "fax_number": "631-417-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 VETERANS MEMORIAL HWY STE 1",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491529",
            "telephone_number": "631-479-2900",
            "fax_number": "631-417-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRA & GLICK APPLIED BEHAVIOR ANALYSTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-479-2900",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.