NPIMap

Organization Active NPI

Compass Applied Behavior Analysis, PLLC

  • Behavior Analyst
  • Queensbury, NY
National Provider Identifier
1831558279
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
719 Issued in NY
Legal business name
COMPASS APPLIED BEHAVIOR ANALYSIS, PLLC
Practice address
17 Wayne CT
Queensbury, NY 12804-9108
Phone
(518) 744-4834
Fax
(518) 203-1353
NPI assigned
Feb 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Justin D'Ambrosio, M.S., LBANPI 1891123865
Title
Owner
Phone
(518) 744-4834

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 AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 719 NY Primary

Addresses

Primary practice location

17 Wayne CT
Queensbury, NY 12804-9108

Mailing address

17 Wayne CT
Queensbury, NY 12804-9108
Phone (518) 744-4834

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1831558279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WAYNE CT",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128049108",
            "telephone_number": "518-744-4834",
            "fax_number": "518-203-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WAYNE CT",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128049108",
            "telephone_number": "518-744-4834",
            "fax_number": "518-203-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS APPLIED BEHAVIOR ANALYSIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-13",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "D'AMBROSIO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-744-4834",
        "authorized_official_credential": "M.S., LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.