Healthcare Provider Details

I. General information

NPI: 1881289056
Provider Name (Legal Business Name): HELPING HANDS LICENSED BEHAVIOR ANALYST SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 LAUREL RD
E NORTHPORT NY
11731-1118
US

IV. Provider business mailing address

229 LAUREL RD
E NORTHPORT NY
11731-1118
US

V. Phone/Fax

Practice location:
  • Phone: 516-659-5041
  • Fax:
Mailing address:
  • Phone: 516-659-5041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. VANETTA LAROSA
Title or Position: EXECUTIVE CLINICAL DIRECTOR
Credential: PH.D., BCBA-D, LBA
Phone: 516-659-5041