Provider Demographics
NPI:1295308690
Name:CUDDY MAY APPLIED BEHAVIOR ANALYSIS
Entity type:Organization
Organization Name:CUDDY MAY APPLIED BEHAVIOR ANALYSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMILLA
Authorized Official - Middle Name:ZOE
Authorized Official - Last Name:CUDDY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD BCBA-D
Authorized Official - Phone:917-912-6667
Mailing Address - Street 1:39 E 78TH ST STE 501
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0214
Mailing Address - Country:US
Mailing Address - Phone:917-912-6667
Mailing Address - Fax:
Practice Address - Street 1:39 E 78TH ST STE 501
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0214
Practice Address - Country:US
Practice Address - Phone:917-912-6667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty