Provider Demographics
NPI:1558118851
Name:NYC BEHAVIOR SPECIALISTS LLC
Entity type:Organization
Organization Name:NYC BEHAVIOR SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:UMANA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:347-385-5904
Mailing Address - Street 1:1551 E 37TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3417
Mailing Address - Country:US
Mailing Address - Phone:347-385-5904
Mailing Address - Fax:
Practice Address - Street 1:1551 E 37TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3417
Practice Address - Country:US
Practice Address - Phone:347-385-5904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty