Healthcare Provider Details

I. General information

NPI: 1962347088
Provider Name (Legal Business Name): MORA APPLIED BEHAVIOR ANALYSIS SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 VALENTINE AVE APT 4H
BRONX NY
10458-1675
US

IV. Provider business mailing address

3000 VALENTINE AVE APT 4H
BRONX NY
10458-1675
US

V. Phone/Fax

Practice location:
  • Phone: 646-875-9352
  • Fax:
Mailing address:
  • Phone: 646-875-9352
  • 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: YVONNE MORA
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: MS, BCBA, LBA-NY
Phone: 646-875-9352