Healthcare Provider Details

I. General information

NPI: 1790344356
Provider Name (Legal Business Name): LYDIA ROSE NARAINE BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 YONKERS AVE
YONKERS NY
10704-7500
US

IV. Provider business mailing address

17 SHIPMAN AVE
YONKERS NY
10704-3017
US

V. Phone/Fax

Practice location:
  • Phone: 516-347-0508
  • Fax:
Mailing address:
  • Phone: 516-761-2615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number002552
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: