Provider Demographics
NPI:1285104018
Name:B FEIG LICENSED BEHAVIORAL ANALYST PC
Entity type:Organization
Organization Name:B FEIG LICENSED BEHAVIORAL ANALYST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EFTHALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIACQUADIO
Authorized Official - Suffix:
Authorized Official - Credentials:LBA BCBA
Authorized Official - Phone:516-290-2903
Mailing Address - Street 1:3280 SUNRISE HWY STE 398
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3280 SUNRISE HWY STE 398
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-4024
Practice Address - Country:US
Practice Address - Phone:516-290-2903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty