Daniel Ivanov

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3043 Issued in MA

Practice address

139 Charles St Ste 388
Boston, MA 02114-3282

Phone

(203) 529-5123

NPI assigned

Aug 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Able Home Health Care, LLC

  • Developmentally Disabled Services Day Training Agency
  • Miami, FL
  • NPI 1508246745
  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1790396737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TAYLOR PL",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804313",
            "telephone_number": "203-529-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CHARLES ST STE 388",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143282",
            "telephone_number": "203-529-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANOV",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osnat Itzhaki Ben Zadok
• Joel Itzkowitz, RPH
• Elaine Iuanow, M.D.
• Sherry L Iuliano, NP
• Johnny IV, FNP-C
• Irenose Ivbaze, MD, MPH
• Louise C Ivers, MD
• Grant Loren Iverson, PHD
• Katherine M Iverson, PH.D.
• Ronald E Iverson Jr., MD

• Behavior Analyst in Boston, MA
• Providers in Boston, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.