Provider Demographics
NPI:1144647181
Name:BEHAVIORAL SERVICES
Entity type:Organization
Organization Name:BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR INTERVENTION SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:GOLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:646-338-9817
Mailing Address - Street 1:1332 67TH ST
Mailing Address - Street 2:APT#11
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-6196
Mailing Address - Country:US
Mailing Address - Phone:646-338-9817
Mailing Address - Fax:
Practice Address - Street 1:1332 67TH ST
Practice Address - Street 2:APT#11
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-6196
Practice Address - Country:US
Practice Address - Phone:646-338-9817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health