Shifra Kreitman, MSED BCBA LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000818-1 Issued in NY

Practice address

27 Dawn LN
Airmont, NY 10901-6635

Phone

(718) 215-5311

NPI assigned

Apr 6, 2016

Last updated

Dec 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shifra Grossman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1912361940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 E 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306404",
            "telephone_number": "718-215-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 DAWN LN",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109016635",
            "telephone_number": "718-215-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREITMAN",
        "first_name": "SHIFRA",
        "credential": "MSED BCBA LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000818-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIFRA",
            "last_name": "GROSSMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Keorasmey, LPN
• Marion Bunce Kharem, LCSW
• Christina King
• Rebecca Beth Koblick, MA, CCC-SLP
• Boris Korik, DDS
• Namratha Mary Kuruvilla
• L'Chaim Medical PC
• Lance Tristan Enterprises, Inc. (Austin Ryan Optika)
• Leslie Laskin, LCSW
• Carmella Laster, CNS

• Behavior Analyst in Airmont, NY
• Providers in Airmont, 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 Dec 19, 2019; 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.