Provider Demographics
NPI:1689563900
Name:ADVOCATE BEHAVIOR CARE LICENSED BEHAVIOR ANALYST PLLC
Entity type:Organization
Organization Name:ADVOCATE BEHAVIOR CARE LICENSED BEHAVIOR ANALYST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:914-222-3620
Mailing Address - Street 1:3 BAY CT
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2003
Mailing Address - Country:US
Mailing Address - Phone:914-222-3620
Mailing Address - Fax:718-705-9230
Practice Address - Street 1:3 BAY CT
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-2003
Practice Address - Country:US
Practice Address - Phone:914-222-3620
Practice Address - Fax:718-705-9230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty