Provider Demographics
NPI:1790568160
Name:SMART STEPS LICENSED BEHAVIOR ANALYST PC
Entity Type:Organization
Organization Name:SMART STEPS LICENSED BEHAVIOR ANALYST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YEHUDIT
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:457-826-7758
Mailing Address - Street 1:68 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10930-2726
Mailing Address - Country:US
Mailing Address - Phone:845-782-6775
Mailing Address - Fax:
Practice Address - Street 1:13 KOSNITZ DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-6206
Practice Address - Country:US
Practice Address - Phone:845-782-6775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty