Provider Demographics
NPI:1215795067
Name:BEHAVIOR ANALYSIS CONNECTION PLLC
Entity type:Organization
Organization Name:BEHAVIOR ANALYSIS CONNECTION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:UCKELE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:626-487-4097
Mailing Address - Street 1:32206 TOWN GREEN DR
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-1697
Mailing Address - Country:US
Mailing Address - Phone:626-487-4097
Mailing Address - Fax:914-930-6628
Practice Address - Street 1:32206 TOWN GREEN DR
Practice Address - Street 2:
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-1697
Practice Address - Country:US
Practice Address - Phone:626-487-4097
Practice Address - Fax:914-930-6628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health