Provider Demographics
NPI:1033496898
Name:KLEMPNER, DEBBIE (MS-BCBA)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:KLEMPNER
Suffix:
Gender:F
Credentials:MS-BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11241 72ND RD
Mailing Address - Street 2:APT 3J
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4659
Mailing Address - Country:US
Mailing Address - Phone:917-232-2484
Mailing Address - Fax:
Practice Address - Street 1:11241 72ND RD
Practice Address - Street 2:APT 3J
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4659
Practice Address - Country:US
Practice Address - Phone:917-232-2484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-11-8763103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst