Provider Demographics
NPI:1104792373
Name:THE INTERACTION LAB
Entity type:Organization
Organization Name:THE INTERACTION LAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MEHAK
Authorized Official - Middle Name:BATOOL
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA,LBA,LBS
Authorized Official - Phone:516-469-0353
Mailing Address - Street 1:44 RAMPART DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5844
Mailing Address - Country:US
Mailing Address - Phone:516-469-0353
Mailing Address - Fax:
Practice Address - Street 1:44 RAMPART DR
Practice Address - Street 2:
Practice Address - City:CHESTERBROOK
Practice Address - State:PA
Practice Address - Zip Code:19087-5844
Practice Address - Country:US
Practice Address - Phone:516-469-0353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health