Provider Demographics
NPI:1023367737
Name:BEHAVIORAL SERVICES, INC
Entity Type:Organization
Organization Name:BEHAVIORAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALBA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAISTORU
Authorized Official - Suffix:
Authorized Official - Credentials:MA, SDL, BCBA
Authorized Official - Phone:718-505-0059
Mailing Address - Street 1:5838 78TH ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-5306
Mailing Address - Country:US
Mailing Address - Phone:718-505-0059
Mailing Address - Fax:
Practice Address - Street 1:5838 78TH ST
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-5306
Practice Address - Country:US
Practice Address - Phone:718-505-0059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1031353251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health