SG LISENCED BEHAVIOR ANALYST PC (NPI# 1770141608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770141608 |
| Entity Type | Organization |
| Organization Name | SG LISENCED BEHAVIOR ANALYST PC |
| Practice Address |
31 Quads Way Windham NY 12496-5323 |
| Mailing Address |
1830 E 31st St Brooklyn NY 11234-4440 |
| Practice Telephone | 9172549292 |
| Mailing Telephone | 9172549292 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | SVETLANA GLUZMAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 9172549292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1830 E 31st St, Brooklyn, NY 112344440 | 9172549292 |
| Street Address |
31 QUADS WAY |
| City | WINDHAM |
| State | NY |
| Zip Code | 12496-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598820359 | Windham Ashland Jewett Csd | Local Education Agency (LEA) | 5411 State Route 23, Windham, NY 12496 | 2006-12-22 |
| 1194040717 | William Thomas Quackenbush IIi | Pharmacist | Rte 296 & South St, Windham, NY 12496-0068 | 2010-04-07 |
| 1780604173 | Windham Pharmacy of Greene County Inc | Pharmacy | 6 State Route 296, Suite 10, Windham, NY 12496-0068 | 2006-07-20 |
| 1245647189 | Teri Martin Family Nurse Practitioner PC | Clinic/Center | 10 North Ridge Extension, Windham, NY 12496-0794 | 2014-07-11 |
| 1174968945 | Jeffrey Michael Gonzalez | Pharmacist | 2868 County Route 10, Windham, NY 12496-1639 | 2013-05-06 |
| 1427556307 | Windham Pharma Inc | Pharmacy | 61 State Route 296, Windham, NY 12496-5308 | 2018-01-25 |
| 1235286782 | Town of Windham | Ambulance | 4786 State Route 23, Windham, NY 12496-5466 | 2007-01-05 |
| 1912958372 | Robert Otten Jr. | Chiropractor | 5414 Main St, Windham, NY 12496-5802 | 2006-05-12 |
| 1417908971 | Laura Bartner | Chiropractor | 5414 Main St, Windham, NY 12496-5802 | 2006-05-12 |
| 1457551962 | Cheryl Anne Goettsche | Speech-Language Pathologist | 526 County Route 21, Windham, NY 12496-5829 | 2007-07-23 |
| Find all providers in zip 12496 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316437965 | Lisa E Roche | Behavioral Analyst | 50 Gordon Mountain Rd, Windham, NH 03087-1323 | 2018-05-18 |
| 1053559377 | Julie Gordon Packard | Behavioral Analyst | 111 Harvest Hill Rd, Windham, ME 04062-5788 | 2009-01-23 |
| 1831535244 | Kyla Rowe | Behavioral Analyst | 32 Tandberg Trl, Unit 7, Windham, ME 04062-6417 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437308 | Yasmin Elhendy | Behavioral Analyst | 14068a Burden Cres, Jamaica, NY 11435-2359 | 2020-11-04 |
| 1326649815 | James Sanborn | Behavioral Analyst | 2828 42nd St Apt A2, Astoria, NY 11103-2942 | 2020-11-03 |
| 1932709540 | Cassandra Jasmine Hyacinthe | Behavioral Analyst | 254 Benson Ave, Elmont, NY 11003-2317 | 2020-11-01 |
| 1174123012 | Claudia Olivia Obrycki | Behavioral Analyst | 6065 69th Ln, Maspeth, NY 11378-2911 | 2020-10-29 |
| 1629678024 | Maria Constantinidis | Behavioral Analyst | 18938 46th Ave, Flushing, NY 11358-3417 | 2020-10-27 |
| 1346840592 | Lindsey Jane Zenk | Behavioral Analyst | 116 Bayview Ave, East Islip, NY 11730-3806 | 2020-10-27 |
| 1033718598 | Ashley Rose Brill | Behavioral Analyst | 25 Anthony Dr Apt D209, Poughkeepsie, NY 12601-5578 | 2020-10-25 |
| 1154920809 | Neeti Sharma | Behavioral Analyst | 56 Scenic Dr, Poughkeepsie, NY 12603-5530 | 2020-10-23 |
| 1962001701 | Precious S Reid | Behavioral Analyst | 135 W 50th St Bsmt A, New York, NY 10020-1201 | 2020-10-22 |
| 1821697194 | Abraham Weiss | Behavioral Analyst | 1531 50th St, Brooklyn, NY 11219-3794 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.