Provider Demographics
NPI:1568296358
Name:NEXT STEP LICENSED BEHAVIOR ANALYST P.C.
Entity type:Organization
Organization Name:NEXT STEP LICENSED BEHAVIOR ANALYST P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-678-1103
Mailing Address - Street 1:94 HAVERMILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3137
Mailing Address - Country:US
Mailing Address - Phone:646-678-1103
Mailing Address - Fax:
Practice Address - Street 1:94 HAVERMILL RD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3137
Practice Address - Country:US
Practice Address - Phone:646-678-1103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty