Provider Demographics
NPI:1073018800
Name:BEHAVIORS OF NYC LICENSED BEHAVIOR ANALYST THERAPY, LLC
Entity Type:Organization
Organization Name:BEHAVIORS OF NYC LICENSED BEHAVIOR ANALYST THERAPY, LLC
Other - Org Name:BEHAVIORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CLIMACO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, LBA
Authorized Official - Phone:917-407-2764
Mailing Address - Street 1:734 FRANKLIN AVE # 501
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4525
Mailing Address - Country:US
Mailing Address - Phone:516-605-6168
Mailing Address - Fax:516-605-6168
Practice Address - Street 1:4325 43RD ST APT 5C
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-2654
Practice Address - Country:US
Practice Address - Phone:516-605-6168
Practice Address - Fax:516-605-6168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-25
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001145103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty