Healthcare Provider Details
I. General information
NPI: 1801714746
Provider Name (Legal Business Name): FIRST STEP LICENSED BEHAVIOR ANALYST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 PARAGON DR
MONTVALE NJ
07645-1765
US
IV. Provider business mailing address
1 PARAGON DR
MONTVALE NJ
07645-1765
US
V. Phone/Fax
- Phone: 845-707-7660
- Fax:
- Phone: 845-707-7660
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JONAH
KAHAN
Title or Position: OWNER
Credential: LBA BCBA
Phone: 845-376-2073