Provider Demographics
NPI:1518748847
Name:FP APPLIED BEHAVIOR ANALYSIS PLLC
Entity Type:Organization
Organization Name:FP APPLIED BEHAVIOR ANALYSIS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAIZY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:732-813-7333
Mailing Address - Street 1:1435 49TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3202
Mailing Address - Country:US
Mailing Address - Phone:732-813-7333
Mailing Address - Fax:
Practice Address - Street 1:1435 49TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3202
Practice Address - Country:US
Practice Address - Phone:732-813-7333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health