Provider Demographics
NPI:1720334766
Name:SCOTT OPELL
Entity Type:Organization
Organization Name:SCOTT OPELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABA TEACHER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:OPELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:516-220-2006
Mailing Address - Street 1:337 E 50TH ST
Mailing Address - Street 2:1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-7949
Mailing Address - Country:US
Mailing Address - Phone:516-220-2006
Mailing Address - Fax:
Practice Address - Street 1:337 E 50TH ST
Practice Address - Street 2:1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7949
Practice Address - Country:US
Practice Address - Phone:516-220-2006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1839252Y00000X
NY183252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency