Provider Demographics
NPI:1780040436
Name:SIMPSON BEHAVIORAL CONSULTING LICENSED BEHAVIOR ANALYST, PLLC
Entity Type:Organization
Organization Name:SIMPSON BEHAVIORAL CONSULTING LICENSED BEHAVIOR ANALYST, PLLC
Other - Org Name:SIMPSON BEHAVIORAL CONSULTING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:516-640-8477
Mailing Address - Street 1:3066 LAWRENCE PL
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3259
Mailing Address - Country:US
Mailing Address - Phone:516-640-8477
Mailing Address - Fax:
Practice Address - Street 1:3066 LAWRENCE PL
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3259
Practice Address - Country:US
Practice Address - Phone:516-640-8477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000867251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health