Provider Demographics
NPI:1588171029
Name:KOBANBAY, BEGUM (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:BEGUM
Middle Name:
Last Name:KOBANBAY
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:BEGUM
Other - Middle Name:
Other - Last Name:DAVILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:566 DEKALB AVE APT 4B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-4999
Mailing Address - Country:US
Mailing Address - Phone:347-901-1948
Mailing Address - Fax:
Practice Address - Street 1:566 DEKALB AVE APT 4B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4999
Practice Address - Country:US
Practice Address - Phone:347-901-1948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-05
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-21-48565103K00000X
NY002952103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst