NPI Code Details Logo

NPI 1336060292

NPI 1336060292 : BRAIN SIGN ABA LLC : NEW CITY, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336060292
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BRAIN SIGN ABA LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/24/2026
-----------------------------------------------------
    Last Update Date     |    07/24/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    268 S MAIN ST STE 515 
-----------------------------------------------------
    City                 |    NEW CITY
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10956-3327
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    315-704-1330
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    254 S MAIN ST STE 515 
-----------------------------------------------------
    City                 |    NEW CITY
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10956-3388
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    315-704-1330
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |     KATHLENE  LUMOSAD 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    315-704-1330
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.