Healthcare Provider Details

I. General information

NPI: 1780235630
Provider Name (Legal Business Name): TZIPORA YETTA HADAS LBA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TZIPORA YETTA COHN BCBA

II. Dates (important events)

Enumeration Date: 09/23/2019
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SAMUEL RD
SPRING VALLEY NY
10977-6506
US

IV. Provider business mailing address

7 SAMUEL RD
SPRING VALLEY NY
10977-6506
US

V. Phone/Fax

Practice location:
  • Phone: 973-866-6147
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number001788-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: