Healthcare Provider Details

I. General information

NPI: 1477236263
Provider Name (Legal Business Name): LINKS LICENSED BEHAVIOR ANALYST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 NY 59 SUITE 3
AIRMONT NY
10952
US

IV. Provider business mailing address

377 NY-59 SUITE 3
AIRMONT NY
10952
US

V. Phone/Fax

Practice location:
  • Phone: 917-626-6470
  • Fax: 845-388-1524
Mailing address:
  • Phone: 917-626-6470
  • Fax: 845-388-1524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. HENNA MUTZEN
Title or Position: OWNER/MANAGER
Credential: MSED BCBA LBA
Phone: 917-626-6470