Provider Demographics
NPI:1083154983
Name:SK BEHAVIORAL SERVICES INC
Entity Type:Organization
Organization Name:SK BEHAVIORAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EI SPECIAL INSTRUCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SREBRINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:KARAMIHAYLOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, BCBA, LBA
Authorized Official - Phone:917-478-1622
Mailing Address - Street 1:6903 67TH ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6664
Mailing Address - Country:US
Mailing Address - Phone:917-478-1622
Mailing Address - Fax:
Practice Address - Street 1:6903 67TH ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-6664
Practice Address - Country:US
Practice Address - Phone:917-478-1622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency