Healthcare Provider Details

I. General information

NPI: 1083237176
Provider Name (Legal Business Name): APPLIED BEHAVIORAL COUNSELING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 BRUNSWICK ST STE 2
JERSEY CITY NJ
07302-1590
US

IV. Provider business mailing address

4601 SHERIDAN ST STE 501
HOLLYWOOD FL
33021-3435
US

V. Phone/Fax

Practice location:
  • Phone: 866-352-5010
  • Fax:
Mailing address:
  • Phone: 866-352-5010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YAKOV HALBERSTAM
Title or Position: OFFICER
Credential:
Phone: 866-352-5010