Provider Demographics
NPI:1467156935
Name:SPIRA, GITTY (MS ED, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:GITTY
Middle Name:
Last Name:SPIRA
Suffix:
Gender:F
Credentials:MS ED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1163 43RD ST APT B5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-1233
Mailing Address - Country:US
Mailing Address - Phone:347-542-9421
Mailing Address - Fax:
Practice Address - Street 1:1163 43RD ST APT B5
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-1233
Practice Address - Country:US
Practice Address - Phone:347-542-9421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001979103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst