Provider Demographics
NPI:1750058293
Name:KOUNAKIS, LUCY (NCSP, BCBA)
Entity Type:Individual
Prefix:MS
First Name:LUCY
Middle Name:
Last Name:KOUNAKIS
Suffix:
Gender:F
Credentials:NCSP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 DARWIN AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1322
Mailing Address - Country:US
Mailing Address - Phone:347-982-6042
Mailing Address - Fax:
Practice Address - Street 1:177 DARWIN AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1322
Practice Address - Country:US
Practice Address - Phone:347-982-6042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst