Provider Demographics
NPI:1275411837
Name:CORE APPLIED BEHAVIOR ANALYSIS, PLLC
Entity type:Organization
Organization Name:CORE APPLIED BEHAVIOR ANALYSIS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEDEJI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-400-7842
Mailing Address - Street 1:2115 GARRETT PL APT 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-6220
Mailing Address - Country:US
Mailing Address - Phone:646-400-7842
Mailing Address - Fax:
Practice Address - Street 1:2115 GARRETT PL APT 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-6220
Practice Address - Country:US
Practice Address - Phone:646-400-7842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty