Taisiya Goryaeva, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

P09565 Issued in NY

Practice address

8319 141St St Apt 324
Briarwood, NY 11435-1621

Phone

(646) 732-3398

NPI assigned

May 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Taisiya Lozanov Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Networks

• Healthfirst Medicare Network H9678

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1801387758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8319 141ST ST APT 324",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351621",
            "telephone_number": "646-732-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8319 141ST ST APT 324",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351621",
            "telephone_number": "646-732-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Pearsall Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cedarhurst",
            "state": "NY",
            "postal_code": "115161842",
            "country_code": "US",
            "telephone_number": "516-213-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORYAEVA",
        "first_name": "TAISIYA",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "P09565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAISIYA",
            "last_name": "LOZANOV",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric Goldberg, M.D.
• Ana Doris Gonzalez, OTR/L
• Mauricio Gonzalez, MSPT
• Pamela R Goodman, L.C.S.W.
• Doreen E Gordon, RN
• Green Briar RX Inc
• Andres Guerrero, PTA
• Dolly Cristina Gutierrez, M.S., C.C.C.-S.L.P.
• Gale Danita Halley, RN
• Fay Halpern, D.P.M.

• Behavior Analyst in Briarwood, NY
• Providers in Briarwood, 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 Mar 25, 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.