Provider Demographics
NPI:1851603096
Name:HUDSON VALLEY YOUNG ACHIEVERS LLC
Entity Type:Organization
Organization Name:HUDSON VALLEY YOUNG ACHIEVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAVIGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:914-589-2054
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-0609
Mailing Address - Country:US
Mailing Address - Phone:914-589-2054
Mailing Address - Fax:
Practice Address - Street 1:7 COLT CT
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-1201
Practice Address - Country:US
Practice Address - Phone:914-589-2054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-03
Last Update Date:2010-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-09-6391103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty