Provider Demographics
NPI:1093181240
Name:MONSEY LICENSED BEHAVIOR ANALYST SERVICES PLLC
Entity Type:Organization
Organization Name:MONSEY LICENSED BEHAVIOR ANALYST SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARNES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:917-696-2019
Mailing Address - Street 1:6 MARTHA RD
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1406
Mailing Address - Country:US
Mailing Address - Phone:917-696-2019
Mailing Address - Fax:845-290-0467
Practice Address - Street 1:6 MARTHA RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1406
Practice Address - Country:US
Practice Address - Phone:917-696-2019
Practice Address - Fax:845-290-0467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000116103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty