Provider Demographics
NPI:1225810583
Name:SCHNECK, GITTY T (BCBA)
Entity type:Individual
Prefix:
First Name:GITTY
Middle Name:T
Last Name:SCHNECK
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:GITTY
Other - Middle Name:
Other - Last Name:STERNGLANTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LBA
Mailing Address - Street 1:25 RED ROCK RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-2105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5309 18TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1523
Practice Address - Country:US
Practice Address - Phone:718-942-3666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
NY003486-01103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07896633Medicaid