Active NPI
Bertine Marcia Leblanc
- Behavior Analyst
- New York, NY
National Provider Identifier
1821809112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 175585873
- Practice address
- 463 7TH Ave # 18TH
New York, NY 10018-7604 - Phone
- (212) 582-9100
- NPI assigned
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 175585873 | NY | Primary |
Addresses
Primary practice location
463 7TH Ave # 18TH
New York, NY 10018-7604
Mailing address
463 7TH Ave # 18TH
New York, NY 10018-7604
Phone (212) 582-9100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 175585873 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1821809112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 7TH AVE # 18TH",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187604",
"telephone_number": "212-582-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 7TH AVE # 18TH",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187604",
"telephone_number": "212-582-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "BERTINE",
"middle_name": "MARCIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-15",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "175585873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.