SJ Behavioral Services Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SJ BEHAVIORAL SERVICES INC

Practice address

447 Beach 126TH St
Rockaway Park, NY 11694-1722

Phone

(347) 582-0085

Fax

(347) 582-0085

NPI assigned

Aug 10, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Samantha Ann Johnson, BCBA, MS ED

Title

President

Phone

(347) 582-0085

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1861917916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 BEACH 126TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941722",
            "telephone_number": "347-582-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 BEACH 126TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941722",
            "telephone_number": "347-582-0085",
            "fax_number": "347-582-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ BEHAVIORAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-582-0085",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA, MS ED"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Jane'T Sherard
• Maka Giorgievna Shermadini, PTA
• Shibrah M. Jamil, MD, P.C.
• John Richard Shure, D.D.S.
• Dilranie Singh, M.S.,OTRL
• Smile Masters LLC (Rockaway Beach Orthodontics)
• Jennifer Smith, PHD
• Kerry-Ann Keisha Smith, RDMS
• Thomas Gerard Smith Jr., PSYCHOANALYST
• Theresa Elizabeth Smyth-Nestor

• Behavior Analyst in Rockaway Park, NY
• Providers in Rockaway Park, 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 Aug 10, 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.