Individual provider Active NPI

Nidal Daou, PH.D., BCBA-D, LBA

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1982299269
Registry record updated Feb 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
002511 Issued in NY
Practice address
383 Troy Ave
Brooklyn, NY 11213-5322
Phone
(718) 962-0949
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 002511 NY Primary

Addresses

Primary practice location

383 Troy Ave
Brooklyn, NY 11213-5322

Mailing address

15151 17TH Rd # 1
Whitestone, NY 11357-3157
Phone (917) 324-5404

Other names 1

  • Nidal Najjar Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
002511NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675555200000",
    "number": "1982299269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15151 17TH RD # 1",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573157",
            "telephone_number": "917-324-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 TROY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135322",
            "telephone_number": "718-962-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAOU",
        "first_name": "NIDAL",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIDAL",
            "last_name": "NAJJAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 5, 2023; 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.