Healthcare Provider Details

I. General information

NPI: 1285512640
Provider Name (Legal Business Name): ALICIA ZIELENSKI PSYCHOLOGIST AND LICENSED BEHAVIOR ANALYST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MARILYN DR
WHITESBORO NY
13492-2005
US

IV. Provider business mailing address

3 MARILYN DR
WHITESBORO NY
13492-2005
US

V. Phone/Fax

Practice location:
  • Phone: 315-520-9931
  • Fax:
Mailing address:
  • Phone: 315-520-9931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALICIA A ZIELENSKI
Title or Position: OWNER
Credential: PSYD, BCBA, LBA
Phone: 315-520-9931