Active NPI
Applied Support for Autism LLC
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1861935942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 800913131
- Legal business name
- APPLIED SUPPORT FOR AUTISM LLC
- Practice address
- 915 Bushwick Ave
Brooklyn, NY 11221-3738 - Phone
- (718) 313-6979
- NPI assigned
- Nov 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marilyn Lizardo, M.S. SP. ED.
- Title
- ABA Provider
- Phone
- (718) 313-6979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 800913131 | NY | Primary |
Addresses
Primary practice location
915 Bushwick Ave
Brooklyn, NY 11221-3738
Mailing address
915 Bushwick Ave
Brooklyn, NY 11221-3738
Phone (718) 313-6979
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479772800000",
"number": "1861935942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 BUSHWICK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112213738",
"telephone_number": "718-313-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 BUSHWICK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112213738",
"telephone_number": "718-313-6979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLIED SUPPORT FOR AUTISM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A",
"authorized_official_last_name": "LIZARDO",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "ABA PROVIDER",
"authorized_official_telephone_number": "718-313-6979",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S. SP. ED."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "800913131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Applied Behavioral Interventions, LLC
- Applied Behavioral Interventions, Psychology, PT, OT, SLP, LMSW, PLLC.
- Applied Behavioral Mental Health Counseling
- Applied Behavioral Mental Health Counseling
- Applied Diagnostics
- Shari Appollon, LCSW
- Jaye Alexandra Appotive, LMSW
- Approach Wellness Psychology PLLC
- Approved Medical Supply Inc.
- Approved Transportation Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.