Provider Demographics
NPI:1578879185
Name:NEMETH, DANIEL (BCBA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:NEMETH
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52-56 83RD ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4722
Mailing Address - Country:US
Mailing Address - Phone:646-894-4192
Mailing Address - Fax:718-335-9714
Practice Address - Street 1:52-56 83RD ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4722
Practice Address - Country:US
Practice Address - Phone:646-894-4192
Practice Address - Fax:718-335-9714
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-09-5719103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst