Victoria Malmygin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

003984 Issued in NY

Practice address

2579 Ocean Ave
3Rd Floor
Brooklyn, NY 11229-4552

Phone

(718) 332-0080

NPI assigned

Jun 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nikasvikas Inc

  • Specialist
  • Brooklyn, NY
  • NPI 1033738174
  NPD Authorized official
• LS Licensed Behavior Analysts PLLC

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1861190803
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1982966180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 OCEAN AVE",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294552",
            "telephone_number": "718-332-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMYGIN",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2807508",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "003984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Danielle Mallory, LMSW
• Jeda Malloy-Jackson
• Erica L Malloy, NP
• Kathleen Malloy, MD
• Melanie Malloy, M.D., PH.D.
• Dmitrii Malnev, MD
• David Alan Maloff, DMD
• Harold Maloff, DMD
• Maayan Malomet, OTR/L
• Corinne Malon, OTR/L

• All providers in Brooklyn, NY
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.