Provider Demographics
NPI:1285449942
Name:DEVORAH WEISS APPLIED BEHAVIOR ANALYSIS PLLC
Entity type:Organization
Organization Name:DEVORAH WEISS APPLIED BEHAVIOR ANALYSIS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEVORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:MS BCBA LBA
Authorized Official - Phone:347-631-2579
Mailing Address - Street 1:24 TENNYSON PL
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4514
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24 TENNYSON PL
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4514
Practice Address - Country:US
Practice Address - Phone:201-680-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty