Healthcare Provider Details

I. General information

NPI: 1558296863
Provider Name (Legal Business Name): COVE LICENSED BEHAVIOR ANALYST SERV ICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BROADWAY #7539
ALBANY NY
12207
US

IV. Provider business mailing address

20417 HILLSIDE AVE # 125
HOLLIS NY
11423-2213
US

V. Phone/Fax

Practice location:
  • Phone: 212-321-0717
  • Fax:
Mailing address:
  • Phone: 212-321-0717
  • 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: EVAN SCHNEIDERMAN
Title or Position: BCBA
Credential: MA,BCBA,LBA
Phone: 212-321-0717