MEDICARE: ATTENTIVE BEHAVIOR CARE INC

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

General Provider Information

NPI Number	:	1376964262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTENTIVE BEHAVIOR CARE INC

Provider Business Mailing Address
First Line	:	501 CHESTNUT RIDGE RD
Second Line	:	STE 206
City	:	CHESTNUT RDG
State	:	NY
Zip	:	10977-5600
Country	:	US
Telephone Number	:	732-710-4443
Fax Number	:	732-710-4446

Provider Business Practice Location Address
First Line	:	501 CHESTNUT RIDGE RD
Second Line	:	STE 206
City	:	CHESTNUT RDG
State	:	NY
Zip	:	10977-5600
Country	:	US
Telephone Number	:	732-710-4443
Fax Number	:	732-710-4446

Authorized Official
Title or Position	:	PARTNER
Name	:	CHAYIM WEISS
Credential	:
Telephone Number	:	718-650-6540

Provider Enumeration Date	:	12/19/2013
Last Update Date	:	12/19/2013

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