MR. MIKHAIL AZERNOV MA
NPI 1215695796
Behavior Analyst in Glen Head, NY

Active since December 02, 2021
189 WHEATLEY RD, GLEN HEAD, NY 11545(516) 686-4496 Get Directions Write a Review

NPPES record last updated: April 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2025, Nov 12, 2024, Dec 2, 2021 (3 updates tracked since 2021).

About Mr. Mikhail Azernov Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MIKHAIL AZERNOV MA (NPI 1215695796) is an individual behavior analyst provider in Glen Head, New York, licensed in New York (1-24-76662) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1215695796
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMR. MIKHAIL AZERNOVCredential: MA
Location Address189 WHEATLEY RDGlen Head, NY 11545-2641
Mailing Address21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Sole ProprietorNo
Enumeration DateDecember 2, 2021
Last NPPES UpdateApril 6, 20253 updates tracked since enumeration
NPPES CertifiedApril 6, 2025
NPI 1215695796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in NY · 1-24-76662
Definition

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.

189 WHEATLEY RD, Glen Head, NY 11545

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
189 WHEATLEY RD
GLEN HEAD, NY 11545
Occupational Therapy Assistant
189 WHEATLEY RD
GLEN HEAD, NY 11545
Registered Nurse (School)
189 WHEATLEY RD
GLEN HEAD, NY 11545
Clinic/Center (Federally Qualified Health Center (FQHC))
189 WHEATLEY RD
BROOKVILLE, NY 11545
Registered Nurse (School)
189 WHEATLEY RD
GLEN HEAD, NY 11545
Registered Nurse (School)
189 WHEATLEY RD
GLEN HEAD, NY 11545
Occupational Therapist (Pediatrics)
189 WHEATLEY RD
GLEN HEAD, NY 11545
Speech-Language Pathologist
189 WHEATLEY RD
GLEN HEAD, NY 11545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikhail Azernov's NPI number?

The NPI number for Mikhail Azernov is 1215695796. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Where is Mikhail Azernov located?

Mikhail Azernov practices at 189 Wheatley Rd, Glen Head, NY 11545. The listed phone number is (516) 686-4496.

What is Mikhail Azernov's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Mikhail Azernov was last updated on April 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.