Provider Demographics
NPI:1376415802
Name:KOUROUPOS, LEONIDAS EMANUEL (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:LEONIDAS
Middle Name:EMANUEL
Last Name:KOUROUPOS
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 1:8 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:POINT LOOKOUT
Mailing Address - State:NY
Mailing Address - Zip Code:11569-3025
Mailing Address - Country:US
Mailing Address - Phone:516-313-6090
Mailing Address - Fax:
Practice Address - Street 1:600 NEWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-5215
Practice Address - Country:US
Practice Address - Phone:516-937-1397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-21-47273103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst