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

Individual provider Behavior Analyst · NPI 1861019762

MS. Faradja Theodore is a Behavior Analyst in Brooklyn, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Delaware.

Licensed in
DE
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4211 Avenue K Apt 4D
Brooklyn, NY 11210-4961
Phone: (347) 845-3769
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Additional practice locations (1)

  • 4211 Ave K, Brooklyn, NY 11210

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (DE)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1861019762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2020
Last updated in NPPESJune 26, 2020
Certification dateJune 26, 2020
Mailing address4211 Avenue K Apt 4d, Brooklyn, NY 11210-4961

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