Healthcare Provider Details
I. General information
NPI: 1295674992
Provider Name (Legal Business Name): GALAXY KIDS ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
213 SUNSET AVE
HANOVER PA
17331-1852
US
IV. Provider business mailing address
213 SUNSET AVE
HANOVER PA
17331-1852
US
V. Phone/Fax
- Phone: 717-680-3315
- Fax:
- Phone: 717-680-3315
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
MARIA
BELIVAKICI
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: M.S., BCBA, LBA, LBS
Phone: 717-680-3315