Provider Demographics
NPI:1083425805
Name:VA BEHAVIORAL CONSULTING LLC
Entity type:Organization
Organization Name:VA BEHAVIORAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:YEHUDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GITTLESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-581-6622
Mailing Address - Street 1:4 BRIGHTON RD STE 400
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1646
Mailing Address - Country:US
Mailing Address - Phone:201-581-6622
Mailing Address - Fax:757-530-8212
Practice Address - Street 1:4 BRIGHTON RD STE 400
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1646
Practice Address - Country:US
Practice Address - Phone:201-581-6622
Practice Address - Fax:757-530-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health