Provider Demographics
NPI:1285468439
Name:ZELCER, SHLOMO (BCBA/LBA)
Entity type:Individual
Prefix:MR
First Name:SHLOMO
Middle Name:
Last Name:ZELCER
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 1:1350 55TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4213
Mailing Address - Country:US
Mailing Address - Phone:718-972-1907
Mailing Address - Fax:
Practice Address - Street 1:1770 50TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1220
Practice Address - Country:US
Practice Address - Phone:718-972-1907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist