Provider Demographics
NPI:1982299269
Name:DAOU, NIDAL (PHD, BCBA-D, LBA)
Entity Type:Individual
Prefix:DR
First Name:NIDAL
Middle Name:
Last Name:DAOU
Suffix:
Gender:F
Credentials:PHD, BCBA-D, LBA
Other - Prefix:
Other - First Name:NIDAL
Other - Middle Name:
Other - Last Name:NAJJAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15151 17TH RD # 1
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3157
Mailing Address - Country:US
Mailing Address - Phone:917-324-5404
Mailing Address - Fax:
Practice Address - Street 1:383 TROY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5322
Practice Address - Country:US
Practice Address - Phone:718-962-0949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002511103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst