Healthcare Provider Details

I. General information

NPI: 1659287803
Provider Name (Legal Business Name): KIND PATH ABA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8109 BAY PKWY
BROOKLYN NY
11214-2513
US

IV. Provider business mailing address

212 EDGEWOOD RD
LINDEN NJ
07036-3708
US

V. Phone/Fax

Practice location:
  • Phone: 917-484-3391
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARON SAFIA
Title or Position: MEMBER
Credential: BCBA
Phone: 917-484-3391