Provider Demographics
NPI:1629333836
Name:BEHAR, JILL M (MS ED)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:M
Last Name:BEHAR
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 1:3677 NIMROD ST
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-3416
Mailing Address - Country:US
Mailing Address - Phone:516-672-0174
Mailing Address - Fax:516-783-1367
Practice Address - Street 1:3677 NIMROD ST
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-3416
Practice Address - Country:US
Practice Address - Phone:516-672-0174
Practice Address - Fax:516-783-1367
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency