Provider Demographics
NPI:1619107018
Name:HUDSON VALLEY BEHAVIORAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:HUDSON VALLEY BEHAVIORAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JODLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D
Authorized Official - Phone:845-897-1788
Mailing Address - Street 1:3 ROETHAL DR
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5809
Mailing Address - Country:US
Mailing Address - Phone:914-907-6935
Mailing Address - Fax:
Practice Address - Street 1:3 ROETHAL DR
Practice Address - Street 2:SUITE 1A
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-5809
Practice Address - Country:US
Practice Address - Phone:914-907-6935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-04-1838103K00000X
NY783203971252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty