Provider Demographics
NPI:1457973562
Name:HUDSON VALLEY APPLIED BEHAVIOR ANALYST PLLC
Entity Type:Organization
Organization Name:HUDSON VALLEY APPLIED BEHAVIOR ANALYST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JODLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LBA
Authorized Official - Phone:845-897-1788
Mailing Address - Street 1:25 ROUTE 376
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-7211
Mailing Address - Country:US
Mailing Address - Phone:845-897-1788
Mailing Address - Fax:845-897-1789
Practice Address - Street 1:25 ROUTE 376
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-7211
Practice Address - Country:US
Practice Address - Phone:845-897-1788
Practice Address - Fax:845-897-1789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty