Provider Demographics
NPI:1619672672
Name:MAHABIR, REEANA (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:REEANA
Middle Name:
Last Name:MAHABIR
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19418 114TH RD
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-2726
Mailing Address - Country:US
Mailing Address - Phone:917-459-5150
Mailing Address - Fax:
Practice Address - Street 1:19418 114TH RD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-2726
Practice Address - Country:US
Practice Address - Phone:917-459-5150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst