Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215695796 Individual Practitioner Male Practitioner

Mikhail Azernov , MA

Behavior Analyst • Glen Head, NY

Professional Overview & Biography Verified Profile Summary

Mikhail Azernov, MA is a registered healthcare professional specializing in Behavior Analyst in Glen Head, NY. Practice services are available at 189 WHEATLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

189 Wheatley Rd

Glen Head, NY 115452641

Telephone 5166864496
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Glen Head, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Glen Head, NY (5252 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NY 1-24-76662

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Rachel Durante , OTR, L

Occupational Therapist

NPI 1073933586

Occupational Therapist Registered, L

Jamie Hustick , MA, CCC-SLP, TSSLD

Speech-Language Pathologist

NPI 1154939437

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence), TSSLD

Monica Impastato , MS, CCC-SLP, TSSLD

Speech-Language Pathologist

NPI 1154997831

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), TSSLD

Alicia Elman , MA

Speech-Language Pathologist

NPI 1194166314

Master of Arts

Lisa Andersen , PT

Physical Therapist

NPI 1528213162

Physical Therapist

Stephanie Fleischer , OTR, L

Occupational Therapist

NPI 1568822625

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 06, 2025

Registered at 189 WHEATLEY RD, GLEN HEAD, NY 115452641 (Tel: 5166864496)

👤
Provider Name / Credentials Updated April 06, 2025

Recorded as MIKHAIL AZERNOV, MA

📍
Updated Practice Location November 12, 2024

Registered at 3640 37TH ST FL 1, LONG ISLAND CITY, NY 111011638 (Tel: 9174288984)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2024

Behavior Analyst (License #1-24-76662 in NY)

NPI Profile Active December 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2021

Registered at 1069 HEMPSTEAD TPKE # 1, FRANKLIN SQUARE, NY 110102631 (Tel: 5168651146)

📍
Updated Business Mailing Address December 02, 2021

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807

👤
Provider Name / Credentials Updated December 02, 2021

Recorded as MIKHAIL AZERNOV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2021

Behavior Analyst (License #BACB700300 in NY)

🟢
Initial NPI Registration & Enumeration December 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215695796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2021
Last Update: April 06, 2025
Sole Proprietor: No

Mailing Address

21600 Oxnard St Ste 1800

Woodland Hills, CA 913677807

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.