Healthcare Provider Details

I. General information

NPI: 1033040415
Provider Name (Legal Business Name): STEPPING STONES APPLIED BEHAVIOR ANALYSIS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

562 VAN NEST AVE
BRONX NY
10460-2707
US

IV. Provider business mailing address

4205 17TH AVE
BROOKLYN NY
11204-1029
US

V. Phone/Fax

Practice location:
  • Phone: 718-222-5999
  • 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: ZLATY KAHAN
Title or Position: OWNER
Credential:
Phone: 718-222-5999