Provider Demographics
NPI:1356756050
Name:GRUBER, DEBORAH J (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:J
Last Name:GRUBER
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E 52ND ST
Mailing Address - Street 2:8B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6404
Mailing Address - Country:US
Mailing Address - Phone:917-670-4076
Mailing Address - Fax:
Practice Address - Street 1:400 E 52ND ST
Practice Address - Street 2:8B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6404
Practice Address - Country:US
Practice Address - Phone:917-670-4076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst