NPIMap

Organization Active NPI

Mind Orientation Licensed Behavior Analyst PLLC

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1841868940
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MIND ORIENTATION LICENSED BEHAVIOR ANALYST PLLC
Practice address
4205 17TH Ave Apt 3
Brooklyn, NY 11204-1029
Phone
(347) 675-6102
NPI assigned
Jun 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Zlaty KahanNPI 1881160646
Title
Ceo
Phone
(347) 675-6102

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4205 17TH Ave Apt 3
Brooklyn, NY 11204-1029

Mailing address

4205 17TH Ave Apt 3
Brooklyn, NY 11204-1029
Phone (347) 675-6102

Other names 1

  • Mind Go Applied Behavior Analyst Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mind Go Applied Behavior Analyst2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1841868940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 17TH AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041029",
            "telephone_number": "347-675-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 17TH AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041029",
            "telephone_number": "347-675-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND ORIENTATION LICENSED BEHAVIOR ANALYST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "KAHAN",
        "authorized_official_first_name": "ZLATY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-675-6102"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Go Applied Behavior Analyst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 2024; 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.