Healthcare Provider Details

I. General information

NPI: 1619368172
Provider Name (Legal Business Name): ACHIEVEMENT BEHAVIOR CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2015
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 PALM LN
WEST HEMPSTEAD NY
11552-3024
US

IV. Provider business mailing address

341 TRINITY PL
MALVERNE NY
11565-1234
US

V. Phone/Fax

Practice location:
  • Phone: 516-229-1194
  • Fax: 516-538-2003
Mailing address:
  • Phone: 516-229-1194
  • Fax: 516-329-9747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number000494
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number070346
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number00494
License Number StateNY

VIII. Authorized Official

Name: MRS. TIRTZA LINDENBLATT
Title or Position: BEHAVIORAL ANALYSIS
Credential: LMSW, BCBA, LBA
Phone: 516-229-1194