Provider Demographics
NPI:1699901298
Name:KAHYA, NURSEL (PHD, BCBA-D)
Entity type:Individual
Prefix:
First Name:NURSEL
Middle Name:
Last Name:KAHYA
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BEAVER HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-4311
Mailing Address - Country:US
Mailing Address - Phone:845-290-0365
Mailing Address - Fax:845-290-0365
Practice Address - Street 1:8 BEAVER HOLLOW LN
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-4311
Practice Address - Country:US
Practice Address - Phone:845-290-0365
Practice Address - Fax:845-290-0365
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-00-0329103K00000X
NY014370-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103T00000XBehavioral Health & Social Service ProvidersPsychologist