Provider Demographics
NPI:1588818934
Name:BEHAVIOR ANALYSTS OF NEW YORK LLC
Entity Type:Organization
Organization Name:BEHAVIOR ANALYSTS OF NEW YORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:MCDONOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-625-7447
Mailing Address - Street 1:1376 MIDLAND AVE
Mailing Address - Street 2:#713
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-6891
Mailing Address - Country:US
Mailing Address - Phone:914-625-7447
Mailing Address - Fax:914-613-8408
Practice Address - Street 1:1376 MIDLAND AVE
Practice Address - Street 2:#713
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-6891
Practice Address - Country:US
Practice Address - Phone:914-625-7447
Practice Address - Fax:914-613-8408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY24308252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency