BRANCH OUT LICENSED BEHAVIOR ANALYSTS, PLLC


Address: 81 Fleet Pl Apt 16c, Brooklyn, NY 11201-8022
Phone: 9522156608

BRANCH OUT LICENSED BEHAVIOR ANALYSTS, PLLC (NPI# 1396250064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396250064
Entity Type Organization
Organization Name BRANCH OUT LICENSED BEHAVIOR ANALYSTS, PLLC
Other Organization Name TEAMWORK LICENSED BEHAVIOR ANALYSTS, PLLC
Practice Address 81 Fleet Pl Apt 16c
Brooklyn
NY 11201-8022
Mailing Address 147 Prince St
Brooklyn
NY 11201-3022
Practice Telephone 9522156608
Practice Fax Number 9522156608
Mailing Telephone 9083918760
Enumeration Date 2017-12-04
Last Update Date 2019-05-21
Authorized Official Name SARAH CAMP CAMP (CLINICAL DIRECTOR)
Authorized Official Telephone 9083918760
Authorized Official Credential LBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst NY Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Teamwork Licensed Behavior Analysts, PLLC Former Legal Business Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
20942 34th Ave, Bayside, NY 113611448 5167281003

Office Location

Street Address 81 FLEET PL APT 16C
City BROOKLYN
State NY
Zip Code 11201-8022

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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821697194 Abraham Weiss Behavioral Analyst 1531 50th St, Brooklyn, NY 11219-3794 2020-10-19
1407453913 Dukenson Bernard Behavioral Analyst 228 E 87th St Apt 2, Brooklyn, NY 11236-1404 2020-10-07
1780293365 Leavon Eaurion Bowen Behavioral Analyst 489 Warwick St Fl 2, Brooklyn, NY 11207-4414 2020-07-29
1376151894 Brittany Lynnette Gudaitis Behavioral Analyst 60 S 8th St Apt 703, Brooklyn, NY 11249-6158 2020-07-21
1821616491 Maarvi Khawaja Behavioral Analyst 130 Clarkson Ave Apt 3d, Brooklyn, NY 11226-2065 2020-07-10
1649898420 Aisha Zokari Behavioral Analyst 120 Kenilworth Pl Apt 2b, Brooklyn, NY 11210-2445 2020-07-08
1124646245 Hong Gao Behavioral Analyst 5612 8th Ave, Brooklyn, NY 11220-3518 2020-07-07
1861019762 Faradja Theodore Behavioral Analyst 4211 Avenue K Apt 4d, Brooklyn, NY 11210-4961 2020-06-26
1679199756 Marissa Rabinowitz Behavioral Analyst 10 Saint Pauls Pl Apt 1h, Brooklyn, NY 11226-1363 2020-06-24
1982228581 Yehudis E. Millman Behavioral Analyst 1883 58th St, Brooklyn, NY 11204-2065 2020-05-31
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Competitor

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City BROOKLYN
Zip Code 11201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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