Healthcare Provider Details

I. General information

NPI: 1295308690
Provider Name (Legal Business Name): CUDDY MAY APPLIED BEHAVIOR ANALYSIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 E 78TH ST STE 501
NEW YORK NY
10075-0214
US

IV. Provider business mailing address

39 E 78TH ST STE 501
NEW YORK NY
10075-0214
US

V. Phone/Fax

Practice location:
  • Phone: 917-912-6667
  • Fax:
Mailing address:
  • Phone: 917-912-6667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DR. CAMILLA ZOE CUDDY
Title or Position: OWNER
Credential: PSYD BCBA-D
Phone: 917-912-6667