Provider Demographics
NPI:1154081016
Name:HENRICK ROSENZWEIG LICENSED BEHAVIOR ANALYST PC
Entity Type:Organization
Organization Name:HENRICK ROSENZWEIG LICENSED BEHAVIOR ANALYST PC
Other - Org Name:ACCOMPLISH ABA SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:OVITSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-925-2066
Mailing Address - Street 1:4118 14TH AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-1401
Mailing Address - Country:US
Mailing Address - Phone:718-925-2066
Mailing Address - Fax:718-925-2066
Practice Address - Street 1:4502 13TH AVE STE 418
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2018
Practice Address - Country:US
Practice Address - Phone:718-925-2066
Practice Address - Fax:718-925-2066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty