Provider Demographics
NPI:1346741436
Name:EFFECTIVE BEHAVIOR INTERVENTIONS
Entity Type:Organization
Organization Name:EFFECTIVE BEHAVIOR INTERVENTIONS
Other - Org Name:EFFECTIVE BEHAVIOR INTERVENTIONS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEIF
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-771-6908
Mailing Address - Street 1:234 FLATBUSH AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2420
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:234 FLATBUSH AVE APT 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2420
Practice Address - Country:US
Practice Address - Phone:775-771-6908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001465103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty