MEDICARE: PRECISION APPLIED BEHAVIOR ANALYSIS THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1477403376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION APPLIED BEHAVIOR ANALYSIS THERAPY PLLC

Provider Business Mailing Address
First Line	:	2133 COLEMAN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5035
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2133 COLEMAN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5035
Country	:	US
Telephone Number	:	718-431-4671
Fax Number	:

Authorized Official
Title or Position	:	LBA
Name	:	MIRIAM GOLDBERG
Credential	:
Telephone Number	:	443-691-1296

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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