Provider Demographics
NPI:1275340275
Name:LILEVMAN, DANIEL (BCBA,LBA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:LILEVMAN
Suffix:
Gender:M
Credentials:BCBA,LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 360595, PITTSBURGH, PA 15251-6595
Mailing Address - Street 2:ALLEGHENY COUNTY
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251
Mailing Address - Country:US
Mailing Address - Phone:718-215-5311
Mailing Address - Fax:904-643-6426
Practice Address - Street 1:1449 37TH STREET, SUITE 100, BROOKLYN NY 11218.
Practice Address - Street 2:SUITE 100
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218
Practice Address - Country:US
Practice Address - Phone:718-215-5311
Practice Address - Fax:904-643-6426
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003944103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst