Provider Demographics
NPI:1386392512
Name:ONE STEP LICENSED BEHAVIOR ANALYSTS PLLC
Entity type:Organization
Organization Name:ONE STEP LICENSED BEHAVIOR ANALYSTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DINERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA-LBA
Authorized Official - Phone:917-971-1052
Mailing Address - Street 1:866 E NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1311
Mailing Address - Country:US
Mailing Address - Phone:917-971-1052
Mailing Address - Fax:718-481-2004
Practice Address - Street 1:866 E NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1311
Practice Address - Country:US
Practice Address - Phone:917-971-1052
Practice Address - Fax:718-481-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty