Provider Demographics
NPI:1902446776
Name:DOUBLE CARE APPLIED BEHAVIOR ANALYSIS INC
Entity type:Organization
Organization Name:DOUBLE CARE APPLIED BEHAVIOR ANALYSIS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:APPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-762-1600
Mailing Address - Street 1:1274 49TH ST STE 32
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3011
Mailing Address - Country:US
Mailing Address - Phone:646-762-1600
Mailing Address - Fax:646-769-1655
Practice Address - Street 1:475 OBERLIN AVE S
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-7024
Practice Address - Country:US
Practice Address - Phone:646-762-1600
Practice Address - Fax:646-769-1655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty