Provider Demographics
NPI:1407503667
Name:PROJECT C.A.L.I. LICENSED BEHAVIOR ANALYSIS PLLC
Entity Type:Organization
Organization Name:PROJECT C.A.L.I. LICENSED BEHAVIOR ANALYSIS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, BCBA, LBA
Authorized Official - Phone:347-525-6886
Mailing Address - Street 1:3094 45TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-1849
Mailing Address - Country:US
Mailing Address - Phone:347-525-6886
Mailing Address - Fax:
Practice Address - Street 1:4502 DITMARS BLVD STE 1030
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-1363
Practice Address - Country:US
Practice Address - Phone:347-525-6886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty