Provider Demographics
NPI:1841719960
Name:ATADATA CORP
Entity type:Organization
Organization Name:ATADATA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AHUVA
Authorized Official - Middle Name:
Authorized Official - Last Name:TARNOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, BCBA
Authorized Official - Phone:917-957-8576
Mailing Address - Street 1:19 SUTTER PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2811
Mailing Address - Country:US
Mailing Address - Phone:917-957-8576
Mailing Address - Fax:718-948-4989
Practice Address - Street 1:19 SUTTER PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2811
Practice Address - Country:US
Practice Address - Phone:917-957-8576
Practice Address - Fax:718-948-4989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0004451103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty