Healthcare Provider Details

I. General information

NPI: 1740112176
Provider Name (Legal Business Name): GR BEHAVIOR ANALYSIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 58TH ST
BROOKLYN NY
11219-4527
US

IV. Provider business mailing address

1224 58TH ST
BROOKLYN NY
11219-4527
US

V. Phone/Fax

Practice location:
  • Phone: 917-334-5851
  • 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: GITTY ROSENFELD
Title or Position: DIRECTOR
Credential:
Phone: 917-334-5851