Provider Demographics
NPI:1316351653
Name:KOVACS, ALINE (LMSW, BCBA)
Entity type:Individual
Prefix:
First Name:ALINE
Middle Name:
Last Name:KOVACS
Suffix:
Gender:F
Credentials:LMSW, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 BROOKLYN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1601
Mailing Address - Country:US
Mailing Address - Phone:516-526-8086
Mailing Address - Fax:
Practice Address - Street 1:580 BROOKLYN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1601
Practice Address - Country:US
Practice Address - Phone:516-526-8086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-15
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services