Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Signature MA Licensed Applied Behavior Analysis, PC

Organization Behavior Analyst · NPI 1538771209

Signature MA Licensed Applied Behavior Analysis, PC is a Behavior Analyst in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

295 Madison Ave Fl 12
New York, NY 10017-6379
Phone: (917) 310-5187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1538771209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sophia Ma — President · (917) 310-5187
NPI enumeratedAugust 23, 2020
Last updated in NPPESAugust 23, 2020
Certification dateAugust 23, 2020
Mailing address295 Madison Ave Fl 12, New York, NY 10017-6379

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