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

Mr. Mikhail Azernov, MA

Individual provider Behavior Analyst · NPI 1215695796

Mr. Mikhail Azernov, MA is a Behavior Analyst in Glen Head, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

189 Wheatley Rd
Glen Head, NY 11545-2641
Phone: (516) 686-4496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-24-76662 (NY)

Record details

NPI number1215695796
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedDecember 2, 2021
Last updated in NPPESApril 6, 2025
Certification dateApril 6, 2025

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