Healthcare Provider Details

I. General information

NPI: 1972440824
Provider Name (Legal Business Name): PLAYFUL ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1644 58TH ST
BROOKLYN NY
11204-2118
US

IV. Provider business mailing address

23 HOLDEN SQ
LAKEWOOD NJ
08701-5828
US

V. Phone/Fax

Practice location:
  • Phone: 347-522-6032
  • Fax:
Mailing address:
  • Phone: 347-522-6032
  • 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: MALKA BIRNBAUM
Title or Position: BCBA/MANAGER
Credential: MS ED BCBA LBA
Phone: 347-522-6032