Provider Demographics
NPI:1306621974
Name:AUSTERLITZ, BASHY (BCBA LBA)
Entity type:Individual
Prefix:
First Name:BASHY
Middle Name:
Last Name:AUSTERLITZ
Suffix:
Gender:F
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 1:1115 CORNER ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1849
Mailing Address - Country:US
Mailing Address - Phone:845-652-0040
Mailing Address - Fax:
Practice Address - Street 1:1465 51ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3606
Practice Address - Country:US
Practice Address - Phone:646-762-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst