Active NPI
Jessica Li, MS
- Behavior Analyst
- Huntington, NY
National Provider Identifier
1861748865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 559404663
- Practice address
- 160 E Main St
Huntington, NY 11743-7400 - Phone
- (631) 659-3338
- NPI assigned
- Jul 27, 2012
- 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 | 559404663 | NY | Primary |
Addresses
Primary practice location
160 E Main St
Huntington, NY 11743-7400
Mailing address
278 Pipe Stave Hollow Rd
Mount Sinai, NY 11766-1938
Phone (631) 828-1721
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 559404663 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1861748865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 PIPE STAVE HOLLOW RD",
"city": "MOUNT SINAI",
"state": "NY",
"postal_code": "117661938",
"telephone_number": "631-828-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117437400",
"telephone_number": "631-659-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "JESSICA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-27",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "559404663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.