Jenny Ellen La Barbera, PSY.D., BCBA-D, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000406 Issued in NY

Practice address

248 E 49TH St
Suite 1B
New York, NY 10017-1548

Phone

(917) 749-2403

Fax

(347) 527-9170

NPI assigned

Aug 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jenny Ellen Tuzikow Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ny Behavior Analysis and Psychological Services

  • Behavior Analyst
  • New York, NY
  • NPI 1841680782
  NPD (past)

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1841579075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 23RD ST",
            "address_2": "APT. 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105012",
            "telephone_number": "917-749-2403",
            "fax_number": "347-527-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 E 49TH ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171548",
            "telephone_number": "917-749-2403",
            "fax_number": "347-527-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA BARBERA",
        "first_name": "JENNY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., BCBA-D, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-07-3960",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000406",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "TUZIKOW",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "credential": "PSY.D., BCBA-D, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in New York, NY
• Providers in New York, 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 Feb 2, 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.