MEDICARE: SILVERSWING ABA NE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1285475467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVERSWING ABA NE LLC

Provider Business Mailing Address
First Line	:	4 FRANKLIN PL
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1265
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1408 FORT CROOK RD S
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-3061
Country	:	US
Telephone Number	:	732-783-4428
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	YOSEF MOSKOWITZ
Credential	:
Telephone Number	:	732-783-4428

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	10/02/2025

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