Healthcare Provider Details

I. General information

NPI: 1821825431
Provider Name (Legal Business Name): MAJESTIC CARE ABA OF NC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15813 72ND AVE STE 2A
FLUSHING NY
11365-4138
US

IV. Provider business mailing address

15813 72ND AVE STE 2A
FLUSHING NY
11365-4138
US

V. Phone/Fax

Practice location:
  • Phone: 718-380-8882
  • 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
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID SLIFKIN
Title or Position: OFFICER
Credential:
Phone: 917-273-7985