Provider Demographics
NPI:1578098000
Name:UNLIMITED HORIZONS BEHAVIOR CONSULTANTS
Entity Type:Organization
Organization Name:UNLIMITED HORIZONS BEHAVIOR CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGA
Authorized Official - Middle Name:
Authorized Official - Last Name:NASTASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, BCBA
Authorized Official - Phone:917-488-3471
Mailing Address - Street 1:49 PAWNEE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-3007
Mailing Address - Country:US
Mailing Address - Phone:917-488-3471
Mailing Address - Fax:
Practice Address - Street 1:49 PAWNEE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-3007
Practice Address - Country:US
Practice Address - Phone:917-488-3471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-15-20816251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health