Active NPI
Linda Mordkovitch, LBA, BCBA
- Behavior Analyst
- Monroe, NY
National Provider Identifier
1871205765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 001734-01
- Practice address
- 105 Schunnemunk Rd
Monroe, NY 10950-6256 - Phone
- (845) 477-5000
- NPI assigned
- Dec 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 001734-01 | NY | Primary |
Addresses
Primary practice location
105 Schunnemunk Rd
Monroe, NY 10950-6256
Mailing address
250 Ardmore Ave
Staten Island, NY 10314-4348
Phone (917) 853-3366
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001734-01 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1871205765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 ARDMORE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144348",
"telephone_number": "917-853-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SCHUNNEMUNK RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109506256",
"telephone_number": "845-477-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORDKOVITCH",
"first_name": "LINDA",
"name_prefix": "Mrs.",
"credential": "LBA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-22",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "001734-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.