Provider Demographics
NPI:1942470992
Name:SAVIC, NEVENA (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:NEVENA
Middle Name:
Last Name:SAVIC
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 QUENTIN RD
Mailing Address - Street 2:COMPREHENSIVE BEHAVIOR SUPPORTS
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1631
Mailing Address - Country:US
Mailing Address - Phone:718-633-4411
Mailing Address - Fax:
Practice Address - Street 1:265 QUENTIN RD
Practice Address - Street 2:COMPREHENSIVE BEHAVIOR SUPPORTS
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-1631
Practice Address - Country:US
Practice Address - Phone:718-633-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000726103K00000X
CA80105106H00000X
1-14-10397103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist