Provider Demographics
NPI:1376964262
Name:ATTENTIVE BEHAVIOR CARE INC
Entity type:Organization
Organization Name:ATTENTIVE BEHAVIOR CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAYIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-650-6540
Mailing Address - Street 1:501 CHESTNUT RIDGE RD
Mailing Address - Street 2:STE 206
Mailing Address - City:CHESTNUT RDG
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5600
Mailing Address - Country:US
Mailing Address - Phone:732-710-4443
Mailing Address - Fax:732-710-4446
Practice Address - Street 1:501 CHESTNUT RIDGE RD
Practice Address - Street 2:STE 206
Practice Address - City:CHESTNUT RDG
Practice Address - State:NY
Practice Address - Zip Code:10977-5600
Practice Address - Country:US
Practice Address - Phone:732-710-4443
Practice Address - Fax:732-710-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health