TARA WANUKOVICH
NPI 1790407781
Behavior Analyst in East Patchogue, NY

Active since September 15, 2022
29 PURITAN AVE, EAST PATCHOGUE, NY 11772(631) 790-6126(631) 569-4761 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Behavior Analyst

About TARA WANUKOVICH

This page provides the complete NPI Profile along with additional information for Tara Wanukovich, a provider established in East Patchogue, New York with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1790407781 assigned on September 2022. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1790407781 Verify this NPI
Provider Name
TARA WANUKOVICH
Gender
Female
Entity Type
Individual
Location Address
29 PURITAN AVE EAST PATCHOGUE, NY 11772
Location Phone
(631) 790-6126
Location Fax
(631) 569-4761
Mailing Address
29 PURITAN AVE EAST PATCHOGUE, NY 11772
Mailing Phone
(631) 790-6126
Mailing Fax
(631) 569-4761
Is Sole Proprietor?
Yes
Enumeration Date
09-15-2022
Last Update Date
09-15-2022
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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
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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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist
29 PURITAN AVE
EAST PATCHOGUE, NY 11772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790407781, enumerated as an "individual" on September 15, 2022.

The provider is located at 29 PURITAN AVE EAST PATCHOGUE, NY 11772 and the phone number is (631) 790-6126.

Behavior Analyst with taxonomy code 103K00000X.