Provider Demographics
NPI:1821866518
Name:NYS LICENSED BEHAVIOR ANALYST ASSOCIATED PLLC
Entity Type:Organization
Organization Name:NYS LICENSED BEHAVIOR ANALYST ASSOCIATED PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARONOV
Authorized Official - Suffix:
Authorized Official - Credentials:LBA, BCBA
Authorized Official - Phone:718-674-5739
Mailing Address - Street 1:7042 175TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3417
Mailing Address - Country:US
Mailing Address - Phone:718-674-5739
Mailing Address - Fax:
Practice Address - Street 1:7042 175TH ST
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-3417
Practice Address - Country:US
Practice Address - Phone:718-674-5739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty