Provider Demographics
NPI:1316505050
Name:TEAMWORK LICENSED BEHAVIOR ANALYST SERVICES, PLLC
Entity type:Organization
Organization Name:TEAMWORK LICENSED BEHAVIOR ANALYST SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER & CHIEF CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:714-423-2414
Mailing Address - Street 1:119 W 24TH ST FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1913
Mailing Address - Country:US
Mailing Address - Phone:347-557-8468
Mailing Address - Fax:347-619-0735
Practice Address - Street 1:119 W 24TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-1913
Practice Address - Country:US
Practice Address - Phone:347-557-8468
Practice Address - Fax:347-619-0735
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEAMWORK LICENSED BEHAVIOR ANALYST SERVICES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency