Healthcare Provider Details

I. General information

NPI: 1205746963
Provider Name (Legal Business Name): JOYFUL LICENSED BEHAVIOR ANALYSIS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 THROOP AVE APT 2C
BROOKLYN NY
11206-3633
US

IV. Provider business mailing address

831 BEDFORD AVE # 45
BROOKLYN NY
11205-2801
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: RACHEL GLUCK
Title or Position: CEO
Credential:
Phone: 718-222-5999