Individual provider Active NPI

Tamara Cykosky, BCBA

  • Behavior Analyst
  • Greentown, PA
National Provider Identifier
1801349006
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH000485 Issued in PA
Practice address
153 Laurel LN
Greentown, PA 18426-3089
Phone
(570) 878-6716
Fax
(570) 689-0515
NPI assigned
Jul 25, 2016
Last updated
Jul 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH000485 PA Primary

Addresses

Primary practice location

153 Laurel LN
Greentown, PA 18426-3089

Mailing address

153 Laurel LN
Greentown, PA 18426-3089
Phone (570) 878-6716

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

State licenses

LicenseStateTypeSpecialty
BH000485PAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1801349006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 LAUREL LN",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184263089",
            "telephone_number": "570-878-6716",
            "fax_number": "570-689-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 LAUREL LN",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184263089",
            "telephone_number": "570-878-6716",
            "fax_number": "570-689-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYKOSKY",
        "first_name": "TAMARA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.