Provider Demographics
NPI:1609294073
Name:YOUNG, BABITA HIRALALL (MS SPED)
Entity Type:Individual
Prefix:
First Name:BABITA
Middle Name:HIRALALL
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8608 239TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1255
Mailing Address - Country:US
Mailing Address - Phone:917-600-9443
Mailing Address - Fax:
Practice Address - Street 1:8608 239TH ST
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-1255
Practice Address - Country:US
Practice Address - Phone:917-600-9443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY878133103K00000X, 171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst