Provider Demographics
NPI:1841877750
Name:APPLIED BEHAVIORAL CLINICIANS
Entity type:Organization
Organization Name:APPLIED BEHAVIORAL CLINICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YECHESKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HALBERSTAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-259-4046
Mailing Address - Street 1:3501 N 53RD AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2333
Mailing Address - Country:US
Mailing Address - Phone:848-352-5010
Mailing Address - Fax:
Practice Address - Street 1:1320 CENTRAL PARK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4953
Practice Address - Country:US
Practice Address - Phone:302-257-5946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty