Provider Demographics
NPI:1184023368
Name:A AND J BEHAVIORAL
Entity Type:Organization
Organization Name:A AND J BEHAVIORAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-327-2723
Mailing Address - Street 1:2611 MERRICK RD UNIT 1169
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-6032
Mailing Address - Country:US
Mailing Address - Phone:646-327-2723
Mailing Address - Fax:
Practice Address - Street 1:2611 MERRICK RD UNIT 1169
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-6032
Practice Address - Country:US
Practice Address - Phone:646-327-2723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty