Provider Demographics
NPI:1255088506
Name:SANA G ABA CORP
Entity type:Organization
Organization Name:SANA G ABA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION TEACHER/ ABA /SI
Authorized Official - Prefix:MRS
Authorized Official - First Name:OKSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYDASH
Authorized Official - Suffix:
Authorized Official - Credentials:MSSPED
Authorized Official - Phone:347-282-3725
Mailing Address - Street 1:10 SHORE BLVD APT 3H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4023
Mailing Address - Country:US
Mailing Address - Phone:347-282-3725
Mailing Address - Fax:
Practice Address - Street 1:10 SHORE BLVD APT 3H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4023
Practice Address - Country:US
Practice Address - Phone:347-282-3725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency