Provider Demographics
NPI:1225495963
Name:ATTENTIVE BEHAVIOR CARE
Entity Type:Organization
Organization Name:ATTENTIVE BEHAVIOR CARE
Other - Org Name:YAI
Other - Org Type:Other Name
Authorized Official - Title/Position:ABA THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:KINGSLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINUS
Authorized Official - Suffix:
Authorized Official - Credentials:NPI
Authorized Official - Phone:347-350-3160
Mailing Address - Street 1:80 RIVERDALE AVE
Mailing Address - Street 2:APT 5K
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-3651
Mailing Address - Country:US
Mailing Address - Phone:347-350-3160
Mailing Address - Fax:
Practice Address - Street 1:80 RIVERDALE AVENUE
Practice Address - Street 2:APT 5K
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:347-425-6769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATTENTIVE BEHAVIOR CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency