Provider Demographics
NPI:1164968558
Name:APPLIED BEHAVIORAL MENTAL HEALTH COUNSELING
Entity Type:Organization
Organization Name:APPLIED BEHAVIORAL MENTAL HEALTH COUNSELING
Other - Org Name:APPLIED ABC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRAYDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ABA
Authorized Official - Phone:866-352-5010
Mailing Address - Street 1:1970 52ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1731
Mailing Address - Country:US
Mailing Address - Phone:718-360-9548
Mailing Address - Fax:
Practice Address - Street 1:1970 52ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1731
Practice Address - Country:US
Practice Address - Phone:718-360-9548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00714100251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management