Individual provider Active NPI

Moses Klein

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1861980765
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
P08835 Issued in NY
Practice address
762 Wythe Ave
Brooklyn, NY 11249-7831
Phone
(347) 489-8817
NPI assigned
Apr 25, 2018
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X P08835 NY Primary

Addresses

Primary practice location

762 Wythe Ave
Brooklyn, NY 11249-7831

Mailing address

21 Cook St Apt 303
Brooklyn, NY 11206-4055
Phone (347) 489-8817

Other practice location 1

8063 Madison Ave # 1077
Indianapolis, IN 46227-6001
Phone (718) 705-5225

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

State licenses

LicenseStateTypeSpecialty
P08835NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavior Analysis of Ny PLLC Behavior Analyst Current Accepting new patients
Peer Licensed Behavior Analyst, PLLC Behavior Analyst PastSince Dec 5, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1861980765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COOK ST APT 303",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064055",
            "telephone_number": "347-489-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 WYTHE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112497831",
            "telephone_number": "347-489-8817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8063 Madison Ave # 1077",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462276001",
            "country_code": "US",
            "telephone_number": "718-705-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MOSES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "P08835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 15, 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.