1821517863 NPI number — ARYEH ROSENFELD MS. ED. BCBA/LBA

Table of content: ARYEH ROSENFELD MS. ED. BCBA/LBA (NPI 1821517863)

General
Organization/Personal Information
Provider's Other Name Information
NPI Number Information
Provider's Business Mailing Address
Provider's Practice Location Mailing Address
Additional Information
Authorized Official
Provider Taxonomy Codes
Other Provider's Identifiers (legacy, non-NPI)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821517863 NPI number — ARYEH ROSENFELD MS. ED. BCBA/LBA

Organization/Personal Information

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:
ROSENFELD

Provider First Name:
ARYEH

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:
MS. ED. BCBA/LBA

Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821517863

Entity Type Code:
Individual

Replacement NPI:

Last Update Date:
07/02/2025

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1312 38TH ST

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:
BROOKLYN

Provider Business Mailing Address State Name:
NY

Provider Business Mailing Address Postal Code:
11218-3612

Provider Business Mailing Address Country Code:
US

Provider Business Mailing Address Telephone Number:
718-686-3700

Provider Business Mailing Address Fax Number:
718-686-2395

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
789 BEDFORD AVE APT 4B

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:
BROOKLYN

Provider Business Practice Location Address State Name:
NY

Provider Business Practice Location Address Postal Code:
11205-1569

Provider Business Practice Location Address Country Code:
US

Provider Business Practice Location Address Telephone Number:
718-909-0720

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:
09/11/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

Provider Taxonomy Codes

Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Taxonomy code: 103K00000X , with the licence number: 003792 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .