KIMBERLY GREENIDGE BCBA, LBA
NPI 1003703109
Behavior Analyst in Malverne, NY

Active since June 20, 2025
341 TRINITY PLACE, MALVERNE, NY 11565(516) 229-1194 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Behavior Analyst

About KIMBERLY GREENIDGE

This page provides the complete NPI Profile along with additional information for Kimberly Greenidge, a provider established in Malverne, New York with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1003703109 assigned on June 2025. The practitioner's primary taxonomy code is 103K00000X with license number 004288-01 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1003703109 Verify this NPI
Provider Name
KIMBERLY GREENIDGE BCBA, LBA
Gender
Female
Entity Type
Individual
Location Address
341 TRINITY PLACE MALVERNE, NY 11565
Location Phone
(516) 229-1194
Mailing Address
341 TRINITY PLACE MALVERNE, NY 11565
Is Sole Proprietor?
No
Enumeration Date
06-20-2025
Last Update Date
06-20-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
004288-01
License State
NY
Taxonomy Description
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003703109, enumerated as an "individual" on June 20, 2025.

The provider is located at 341 TRINITY PLACE MALVERNE, NY 11565 and the phone number is (516) 229-1194.

Behavior Analyst with taxonomy code 103K00000X.