MEDICARE: THRIVE APPLIED BEHAVIOR ANALYSIS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1609714658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE APPLIED BEHAVIOR ANALYSIS PLLC

Provider Business Mailing Address
First Line	:	789 BEDFORD AVE APT 4B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1569
Country	:	US
Telephone Number	:	718-909-0720
Fax Number	:

Provider Business Practice Location Address
First Line	:	789 BEDFORD AVE APT 4B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1569
Country	:	US
Telephone Number	:	718-909-0720
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARYEH L ROSENFELD
Credential	:	BCBA,LBA
Telephone Number	:	718-909-0720

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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