Healthcare Provider Details
I. General information
NPI: 1801718440
Provider Name (Legal Business Name): PASTEL ABA GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 E EVERGREEN RD STE 101-336
NEW CITY NY
10956-5145
US
IV. Provider business mailing address
3 E EVERGREEN RD UNIT 101
NEW CITY NY
10956-5146
US
V. Phone/Fax
- Phone: 704-734-9816
- Fax: 704-828-0468
- Phone: 704-734-9816
- Fax: 704-828-0468
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARA
HOWELL
Title or Position: DIRECTOR
Credential:
Phone: 704-734-9816