Healthcare Provider Details

I. General information

NPI: 1578478285
Provider Name (Legal Business Name): ALINE ABA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 OCEAN AVE
BROOKLYN NY
11225-4746
US

IV. Provider business mailing address

115 OCEAN AVE APT C2B
BROOKLYN NY
11225-4756
US

V. Phone/Fax

Practice location:
  • Phone: 661-863-7770
  • Fax:
Mailing address:
  • Phone: 661-863-7770
  • 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: ROXANNE BURKE
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 661-863-7770