Healthcare Provider Details
I. General information
NPI: 1053231951
Provider Name (Legal Business Name): BIANNA SHAMIS ABA SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2421 OCEAN AVE APT 2B
BROOKLYN NY
11229-3523
US
IV. Provider business mailing address
2421 OCEAN AVE APT 2B
BROOKLYN NY
11229-3523
US
V. Phone/Fax
- Phone: 718-496-0654
- Fax:
- Phone: 718-496-0654
- 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:
BIANNA
SHAMIS
Title or Position: FOUNDER
Credential: M.S., ABA, BCBA, LBA
Phone: 718-496-0654