Healthcare Provider Details

I. General information

NPI: 1619885977
Provider Name (Legal Business Name): COLIN BEHAVIORAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

895 CENTENNIAL AVE
NORTH BALDWIN NY
11510-1914
US

IV. Provider business mailing address

PO BOX 280028
QUEENS VILLAGE NY
11428-0028
US

V. Phone/Fax

Practice location:
  • Phone: 516-907-4080
  • Fax: 516-966-0084
Mailing address:
  • Phone: 516-907-4080
  • Fax: 516-966-0084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. REGINE SYBIL COLIN
Title or Position: TEACHER
Credential:
Phone: 516-907-4080