Healthcare Provider Details

I. General information

NPI: 1578472734
Provider Name (Legal Business Name): EMERGE ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 TAAFFE PL FL 6
BROOKLYN NY
11205-1410
US

IV. Provider business mailing address

755 KENT AVE APT 713
BROOKLYN NY
11249-8210
US

V. Phone/Fax

Practice location:
  • Phone: 718-925-9400
  • Fax:
Mailing address:
  • Phone: 718-925-9400
  • 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: MR. CHAIM GELDZAHLER
Title or Position: CEO
Credential: MSW
Phone: 718-925-9400