- Practice location
- 1054 59TH St Ste 1R, Brooklyn, NY 11219-4824
- Phone
- 917-831-9691
- Fax
- —
- Last updated
- November 12, 2026
Fundamental Licensed Behavior Analyst PLLC is a healthcare organization based in Brooklyn, NY. Fundamental Licensed Behavior Analyst PLLC practices in Brooklyn, NY. The NPI Number for Fundamental Licensed Behavior Analyst PLLC is 1386345270. The current practice location address for Fundamental Licensed Behavior Analyst PLLC is 1054 59TH St Ste 1R, Brooklyn, NY 11219-4824 and can be reached out via phone at 917-831-9691.
Provider Profile Details
- NPI Number
- 1386345270
- Provider Name
- Fundamental Licensed Behavior Analyst PLLC
- Provider Entity Type
- Organization
- Address
- 1054 59TH St Ste 1R, Brooklyn, NY 11219-4824
- Phone Number
- 917-831-9691
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- Yosef Toledano, BCBA · Member · 917-831-9691
- Provider Enumeration Date
- March 16, 2023
- Last Update Date
- November 12, 2026
- Certification Date
- November 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1054 59TH St Ste 1R
Brooklyn, NY 11219-4824 - City
- Brooklyn
- State
- New York
- Zip
- 11219-4824
- Phone Number
- 917-831-9691
Provider Business Mailing Address Details
- Address
- 1915 Swarthmore Ave Ste 16
Lakewood, NJ 08701-4567 - City
- Lakewood
- State
- NJ
- Zip
- 08701-4567
- Phone Number
- 855-316-2700
License Information
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Fundamental Licensed Behavior Analyst PLLC?
The NPI number of Fundamental Licensed Behavior Analyst PLLC is 1386345270. It was assigned on March 16, 2023 and is currently active in the NPPES registry.
What is the specialty of Fundamental Licensed Behavior Analyst PLLC?
Fundamental Licensed Behavior Analyst PLLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Fundamental Licensed Behavior Analyst PLLC practice?
The practice location is 1054 59TH St Ste 1R, Brooklyn, NY 11219-4824. The office can be reached at 917-831-9691 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386345270 directly on the NPPES registry website.