Healthcare Provider Details
I. General information
NPI: 1134058464
Provider Name (Legal Business Name): GAL APPLIED BEHAVIOR ANALYSIS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
265 BROADHOLLOW RD STE 110
MELVILLE NY
11747-4833
US
IV. Provider business mailing address
16 MIDDLE NECK RD # 671
GREAT NECK NY
11021-2357
US
V. Phone/Fax
- Phone: 718-570-1920
- Fax:
- Phone: 718-570-1920
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BELINDA
GAL
Title or Position: CEO
Credential: BCBA/LBA
Phone: 718-570-1920