Active NPI
Fabiola Darilas-Bernadin
- Behavior Analyst
- Fresh Meadows, NY
National Provider Identifier
1932970340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 003224-01
- Practice address
- 16110 Union Tpke Ste 2
Fresh Meadows, NY 11366-1981 - Phone
- (718) 298-2107
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 003224-01 | NY | Primary |
Addresses
Primary practice location
16110 Union Tpke Ste 2
Fresh Meadows, NY 11366-1981
Mailing address
16110 Union Tpke
Fresh Meadows, NY 11366-1980
Phone (718) 298-2107
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 |
|---|---|---|---|
| 003224-01 | NY | MD | Behavioral Analyst |
Networks
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1932970340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16110 UNION TPKE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661980",
"telephone_number": "718-298-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16110 UNION TPKE STE 2",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661981",
"telephone_number": "718-298-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARILAS-BERNADIN",
"first_name": "FABIOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "003224-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.