Healthcare Provider Details

I. General information

NPI: 1225958879
Provider Name (Legal Business Name): NEIGHBORHOOD BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CENTRAL AVE APT 2112
JERSEY CITY NJ
07306
US

IV. Provider business mailing address

15 CENTRAL AVE APT 2112
JERSEY CITY NJ
07306
US

V. Phone/Fax

Practice location:
  • Phone: 929-496-3768
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LUASIA COOPER
Title or Position: FOUNDER & CLINICAL DIRECTOR
Credential: MS, BCBA, LBA
Phone: 929-496-3768