Provider Demographics
NPI:1063269660
Name:JULIECARE ABA LLC
Entity type:Organization
Organization Name:JULIECARE ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAKOVENKO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, NYS LBA
Authorized Official - Phone:917-808-8228
Mailing Address - Street 1:3100 OCEAN PKWY APT B5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8424
Mailing Address - Country:US
Mailing Address - Phone:917-808-8228
Mailing Address - Fax:
Practice Address - Street 1:3100 OCEAN PKWY APT B5
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8424
Practice Address - Country:US
Practice Address - Phone:917-808-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty