Empower Licensed Behavior Analyst Pllc

Address: 5213 19th Ave, Brooklyn, NY 11204-1602
Phone: 7187027693

Empower Licensed Behavior Analyst Pllc (NPI# 1124624697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1124624697
Entity Type Organization
Practice Address 5213 19th Ave
NY 11204-1602
Practice Telephone 7187027693
Practice Fax Number 7183876429
Mailing Address 5213 19th Ave
NY 11204-1602
Mailing Telephone 7187027693
Mailing Fax Number 7183876429
Authorized Official Name Peri E Goldwurm (CEO)
Authorized Official Telephone 7187027693
Authorized Official Credential BA
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-09
Last Update Date 2020-12-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261Q00000X Clinic/Center Ambulatory Health Care Facilities
No 103K00000X Behavior Analyst Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Office Location

Street Address 5213 19TH AVE
State NY
Zip Code 11204-1602

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215577564 Miriam Levin Social Worker 5309 18th Avenue, Brooklyn, NY 11204 2020-01-14
1073076980 Fusion Dental, P.C. Dentist 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 2019-04-08
1477019990 Daniel Silberstein Physical Therapist 1767 48th Street, Brooklyn, NY 11204 2019-02-20
1144736968 Star 1 Health Inc. Radiology 2175 70th St, Suite 1, Brooklyn, NY 11204 2017-12-15
1417462318 Betzalel Rabinowitz Np In Family Health, Pllc Nurse Practitioner 5911b 16th Ave, Brooklyn, NY 11204 2017-12-13
1588176648 Giga Gambashidze Physical Therapy Assistant 1556 W 8th St, Apt 2, Brooklyn, NY 11204 2017-10-30
1871011015 Rebecca Aida Nuzzi Speech-Language Pathologist 4715 18th Avenue, Brooklyn, NY 11204 2017-09-08
1245751882 Wise Medical Ny PC Optometrist 5918 18th Ave Ste 3, Brooklyn, NY 11204 2017-07-05
1619498326 Keisha Simmons Licensed Practical Nurse 703 Van Silcen Ave, Brooklyn, NY 11204 2017-07-03
1790205508 Enas Ahmed Physical Therapist 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 2017-06-22
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Zip Code 11204

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Dataset Information

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.