Organization Active NPI

Haim Licensed Behavior Analyst PLLC

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1831827419
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HAIM LICENSED BEHAVIOR ANALYST PLLC
Practice address
3611 14TH Ave Ste 426
Brooklyn, NY 11218-3787
Phone
(718) 750-4246
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Mrs. Sarra Malka Russel, BCBA
Title
Ceo
Phone
(347) 229-7972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3611 14TH Ave Ste 426
Brooklyn, NY 11218-3787

Mailing address

3611 14TH Ave Ste 426
Brooklyn, NY 11218-3787
Phone (718) 750-4246

National Provider Directory

National Provider Directory

Locations

3611 14th Ave
Ste 426
Brooklyn, NY 11218
Phone (718) 750-4246

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1831827419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 14TH AVE STE 426",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183787",
            "telephone_number": "718-750-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 14TH AVE STE 426",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183787",
            "telephone_number": "718-750-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIM LICENSED BEHAVIOR ANALYST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "RUSSEL",
        "authorized_official_first_name": "SARRA",
        "authorized_official_middle_name": "MALKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-229-7972",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.