NPIMap

Organization Active NPI

Kids Learning Loft ABA Services, PLLC

  • Behavior Analyst
  • Williston Park, NY
National Provider Identifier
1962758946
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDS LEARNING LOFT ABA SERVICES, PLLC
Practice address
436 Willis Ave Ste 3
Williston Park, NY 11596-2298
Phone
(516) 741-0729
Fax
(516) 209-4556
NPI assigned
Jul 27, 2012
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Jennifer Kourassanis-VelasquezNPI 1134553316
Title
Co-Director
Phone
(516) 741-0729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NY Primary

Addresses

Primary practice location

436 Willis Ave Ste 3
Williston Park, NY 11596-2298

Mailing address

305 Hillside Ave
Williston Park, NY 11596-2102
Phone (516) 741-0729

National Provider Directory

National Provider Directory

Locations

436 Willis Ave
Ste 3
Williston Pk, NY 11596
Phone (516) 741-0729

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1962758946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962102",
            "telephone_number": "516-741-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 WILLIS AVE STE 3",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962298",
            "telephone_number": "516-741-0729",
            "fax_number": "516-209-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS LEARNING LOFT ABA SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "KOURASSANIS-VELASQUEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "516-741-0729"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.