Provider Demographics
NPI:1013278928
Name:HTA OF NEW YORK,INC.
Entity Type:Organization
Organization Name:HTA OF NEW YORK,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABA DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBEK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD , BCBA
Authorized Official - Phone:212-732-5427
Mailing Address - Street 1:11 LAKE ST
Mailing Address - Street 2:APT 7N
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-3850
Mailing Address - Country:US
Mailing Address - Phone:914-450-2786
Mailing Address - Fax:
Practice Address - Street 1:11 LAKE ST
Practice Address - Street 2:APT 7N
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-3850
Practice Address - Country:US
Practice Address - Phone:914-450-2786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY488335111252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY174400000XOtherEARLY INTERVENTION SERVICE PROVIDER