Provider Demographics
NPI:1205691672
Name:BE ME LICENSED BEHAVIOR ANALYST PLLC
Entity type:Organization
Organization Name:BE ME LICENSED BEHAVIOR ANALYST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SERA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALMAR
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA,LBA
Authorized Official - Phone:917-932-4473
Mailing Address - Street 1:10 BRANDY RD
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11724-2400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 BRANDY RD
Practice Address - Street 2:
Practice Address - City:COLD SPRING HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11724-2400
Practice Address - Country:US
Practice Address - Phone:917-932-4473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty