Healthcare Provider Details
I. General information
NPI: 1487592127
Provider Name (Legal Business Name): JOURNEYS BEHAVIORAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1305 43RD ST
BROOKLYN NY
11219-1408
US
IV. Provider business mailing address
1305 43RD ST
BROOKLYN NY
11219-1408
US
V. Phone/Fax
- Phone: 347-355-8109
- Fax:
- Phone: 347-355-8109
- 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:
MALKY
FRIEDMAN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 347-355-8109