Provider Demographics
NPI:1477819233
Name:ABER, ZHANNA (MS BCBA)
Entity Type:Individual
Prefix:
First Name:ZHANNA
Middle Name:
Last Name:ABER
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 BLUEBIRD LN
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-6308
Mailing Address - Country:US
Mailing Address - Phone:516-933-4450
Mailing Address - Fax:
Practice Address - Street 1:37 BLUEBIRD LN
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-6308
Practice Address - Country:US
Practice Address - Phone:516-933-4450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-06-3096103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst