Provider Demographics
NPI:1124878541
Name:VALUED BEHAVIOR CARE LICENSED BEHAVIOR ANALYST PLLC
Entity type:Organization
Organization Name:VALUED BEHAVIOR CARE LICENSED BEHAVIOR ANALYST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:347-779-6047
Mailing Address - Street 1:15 JASINSKI RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3927
Mailing Address - Country:US
Mailing Address - Phone:845-293-6046
Mailing Address - Fax:845-296-9645
Practice Address - Street 1:15 JASINSKI RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3927
Practice Address - Country:US
Practice Address - Phone:845-293-6046
Practice Address - Fax:845-296-9645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty