Healthcare Provider Details

I. General information

NPI: 1508223835
Provider Name (Legal Business Name): SHEETAL NAIR MS ED, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2016
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

756B S BROADWAY
HICKSVILLE NY
11801-5061
US

IV. Provider business mailing address

10 OLD JERUSALEM RD
WANTAGH NY
11793-1156
US

V. Phone/Fax

Practice location:
  • Phone: 516-860-2159
  • Fax:
Mailing address:
  • Phone: 516-603-1443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number002311
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: