Provider Demographics
NPI:1851640031
Name:PRITZKER, TZIREL LEAH (BCBA)
Entity Type:Individual
Prefix:
First Name:TZIREL
Middle Name:LEAH
Last Name:PRITZKER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 GOLF DR
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3547
Mailing Address - Country:US
Mailing Address - Phone:475-634-4983
Mailing Address - Fax:718-691-6897
Practice Address - Street 1:663 GOLF DR
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3547
Practice Address - Country:US
Practice Address - Phone:347-563-4498
Practice Address - Fax:718-691-6897
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA103K00000X
174400000X
NY103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst