NPIMap

Organization Active NPI

Fly Behavioral Services, Licensed Behavior Analyst, PLLC

  • Behavior Analyst
  • New York, NY
National Provider Identifier
1992130017
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FLY BEHAVIORAL SERVICES, LICENSED BEHAVIOR ANALYST, PLLC
Practice address
159 W 118TH St Apt 1D
New York, NY 10026-1855
Phone
(646) 524-5984
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Virginia Wong, BCBA, LBA-NYNPI 1497189104
Title
Founder
Phone
(646) 524-5984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

159 W 118TH St Apt 1D
New York, NY 10026-1855

Mailing address

111 W 117TH St Apt 3
New York, NY 10026-1589
Phone (646) 524-5984

Other identifiers 4

IdentifierTypeStateIssuer
1063037OtherBCBA
1992130017OtherNPI
000135OtherNYLICENSED BEHAVIOR ANALYST
1497189104OtherNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1992130017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 117TH ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261589",
            "telephone_number": "646-524-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W 118TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261855",
            "telephone_number": "646-524-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY BEHAVIORAL SERVICES, LICENSED BEHAVIOR ANALYST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "646-524-5984",
        "authorized_official_credential": "BCBA, LBA-NY"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1063037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992130017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR ANALYST",
            "identifier": "000135",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497189104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.