Provider Demographics
NPI:1578031522
Name:ACHIEVEMENT SERVICES LICENSED BEHAVIOR ANALYST PC
Entity Type:Organization
Organization Name:ACHIEVEMENT SERVICES LICENSED BEHAVIOR ANALYST PC
Other - Org Name:ACHIEVEMENT BEHAVIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIRTZA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINBENBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-229-1194
Mailing Address - Street 1:341 TRINITY ST
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1234
Mailing Address - Country:US
Mailing Address - Phone:516-229-1194
Mailing Address - Fax:
Practice Address - Street 1:572 PALM LN
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3024
Practice Address - Country:US
Practice Address - Phone:516-229-1194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty