Active NPI
Alicia Impastato
- Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1942870548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 003648
- Practice address
- 381 S 5TH St
Brooklyn, NY 11211-7507 - Phone
- (844) 222-1173
- NPI assigned
- Jun 28, 2021
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 003648 | NY | Primary |
Addresses
Primary practice location
381 S 5TH St
Brooklyn, NY 11211-7507
Mailing address
49 Larchmont Rd
Buffalo, NY 14214-1266
Phone (352) 552-6109
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1942870548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 LARCHMONT RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141266",
"telephone_number": "352-552-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 S 5TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112117507",
"telephone_number": "844-222-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMPASTATO",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "003648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
- Impact Licensed Behavior Analysis PLLC
- Impact Medical Services Ny PC
- Impact Specialty Solutions Ga PC
- Impact Specialty Solutions NJ PC
- Impact Specialty Solutions TX PLLC
- Pascal James Imperato, M.D.
- Mary Grace Mendoza Imperial, OTR
- Imperium Trans Group Inc
- Important Touch, Inc.
- Impressive Dental Care LLC Dba Impressive Orthodontics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.