Provider Demographics
NPI:1184188864
Name:VERBALCONNECT BEHAVIOR ANALYST, PLLC
Entity Type:Organization
Organization Name:VERBALCONNECT BEHAVIOR ANALYST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:917-539-2961
Mailing Address - Street 1:555 MAIN ST APT 1607
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10044-0337
Mailing Address - Country:US
Mailing Address - Phone:917-539-2961
Mailing Address - Fax:
Practice Address - Street 1:555 MAIN ST APT 1607
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10044-0337
Practice Address - Country:US
Practice Address - Phone:917-539-2961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-26
Last Update Date:2019-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty