Active NPI
Anne E Zaccardi, BCBA
- Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1962765545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 001068-1
- Practice address
- 41 Flatbush Ave.
Floors 1 & 2
Brooklyn, NY 11217 - Phone
- (929) 499-9479
- Fax
- (347) 348-0997
- NPI assigned
- Jun 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | ||
| Behavior Analyst | 103K00000X | 001068-1 | NY | Primary |
Addresses
Primary practice location
41 Flatbush Ave.
Floors 1 & 2
Brooklyn, NY 11217
Mailing address
41 Flatbush Ave.
Floors 1 & 2
Brooklyn, NY 11217
Phone (917) 757-3193
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 |
|---|---|---|---|
| 001068-1 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Licensed Behavior Analysts, PLLC | Behavior Analyst | Current | Accepting new patients |
Locations
41 Flatbush Ave
Ste 1
Brooklyn, NY 11217
Phone (562) 622-2800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Brooklyn, NY
- NPI 1609349984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1962765545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 FLATBUSH AVE.",
"address_2": "FLOORS 1 & 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11217",
"telephone_number": "917-757-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 FLATBUSH AVE.",
"address_2": "FLOORS 1 & 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11217",
"telephone_number": "929-499-9479",
"fax_number": "347-348-0997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACCARDI",
"first_name": "ANNE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "001068-1",
"primary": true
}
],
"identifiers": [],
"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 Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.