Healthcare Provider Details

I. General information

NPI: 1588568034
Provider Name (Legal Business Name): SHAINDY BLEIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 WYTHE AVE APT 6C
BROOKLYN NY
11249-6192
US

IV. Provider business mailing address

520 WYTHE AVE APT 6C
BROOKLYN NY
11249-6192
US

V. Phone/Fax

Practice location:
  • Phone: 347-675-7859
  • Fax:
Mailing address:
  • Phone: 347-675-7859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number005308
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: