Active NPI
Tehila Tamaiev
- Assistant Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1942763503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 1309962191
- Practice address
- 561 E 3Rd St
Brooklyn, NY 11218-4505 - Phone
- (347) 261-0642
- NPI assigned
- Apr 10, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 1309962191 | NY | Primary |
Addresses
Primary practice location
561 E 3Rd St
Brooklyn, NY 11218-4505
Mailing address
561 E 3Rd St
Brooklyn, NY 11218-4505
Phone (347) 261-0642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74334905400 | Medicaid | NY |
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 |
|---|---|---|---|
| 1309962191 | NY | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1942763503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 E 3RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184505",
"telephone_number": "347-261-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 E 3RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184505",
"telephone_number": "347-261-0642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMAIEV",
"first_name": "TEHILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NY",
"license": "1309962191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74334905400",
"state": "NY"
}
],
"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 10, 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.