NPI Code Details Logo

NPI 1790694487

NPI 1790694487 : LITTLE HAVEN BEHAVIORAL HEALTH CT LLC : MONROE, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1790694487
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LITTLE HAVEN BEHAVIORAL HEALTH CT LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/07/2026
-----------------------------------------------------
    Last Update Date     |    09/07/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    51 FOREST RD STE 316-240 
-----------------------------------------------------
    City                 |    MONROE
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10950-2948
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-500-5779
-----------------------------------------------------
    Fax                  |    201-987-5100
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    51 FOREST RD STE 316-240 
-----------------------------------------------------
    City                 |    MONROE
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10950-2948
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-500-5779
-----------------------------------------------------
    Fax                  |    201-987-5100
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER
-----------------------------------------------------
    Name                 |     DAVID  SCHWARTZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    347-671-7627
-----------------------------------------------------

=====================================================
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.