Provider Demographics
NPI:1639891922
Name:DRAGONFLY APPLIED BEHAVIOR ANALYSIS PC
Entity Type:Organization
Organization Name:DRAGONFLY APPLIED BEHAVIOR ANALYSIS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZOE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPAZOGLOU
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:619-701-8005
Mailing Address - Street 1:3 HYNES CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-2259
Mailing Address - Country:US
Mailing Address - Phone:619-701-8005
Mailing Address - Fax:
Practice Address - Street 1:3 HYNES CT
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-2259
Practice Address - Country:US
Practice Address - Phone:619-701-8005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty