Provider Demographics
NPI:1841732344
Name:FELDSTEIN, DINA (BCBA)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:FELDSTEIN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:FELDSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA
Mailing Address - Street 1:83 BATES DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2853
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:83 BATES DR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2853
Practice Address - Country:US
Practice Address - Phone:862-250-3341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-16-23192103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst