Provider Demographics
NPI:1104304716
Name:PRESBERG, NAHOMA (MS BCBA)
Entity type:Individual
Prefix:
First Name:NAHOMA
Middle Name:
Last Name:PRESBERG
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2511
Mailing Address - Country:US
Mailing Address - Phone:585-733-9832
Mailing Address - Fax:
Practice Address - Street 1:293 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2511
Practice Address - Country:US
Practice Address - Phone:585-733-9832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst