Provider Demographics
NPI:1831955517
Name:PLAY LEARN BEHAVE WITH ABA, APPLIED BEHAVIOR ANALYSIS, PLLC
Entity type:Organization
Organization Name:PLAY LEARN BEHAVE WITH ABA, APPLIED BEHAVIOR ANALYSIS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KONSTANTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOURIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-912-7350
Mailing Address - Street 1:14 FROSTFIELD PL
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-1609
Mailing Address - Country:US
Mailing Address - Phone:631-912-7350
Mailing Address - Fax:
Practice Address - Street 1:14 FROSTFIELD PL
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-1609
Practice Address - Country:US
Practice Address - Phone:631-912-7350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty