Provider Demographics
NPI:1013706639
Name:SSK APPLIED BEHAVIORAL ANALYSIS, PLLC
Entity type:Organization
Organization Name:SSK APPLIED BEHAVIORAL ANALYSIS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA, LBA-NY
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA-KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA-NY
Authorized Official - Phone:773-366-9085
Mailing Address - Street 1:155 BORDEN AVE APT 16F
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-6233
Mailing Address - Country:US
Mailing Address - Phone:773-366-9085
Mailing Address - Fax:
Practice Address - Street 1:155 BORDEN AVE APT 16F
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-6233
Practice Address - Country:US
Practice Address - Phone:773-366-9085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health