MEDICARE: APPLIED BEHAVIORAL MENTAL HEALTH COUNSELING

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	46TR00714100	NJ

General Provider Information

NPI Number	:	1396281861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLIED BEHAVIORAL MENTAL HEALTH COUNSELING

Provider Business Mailing Address
First Line	:	1970 52ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1731
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1970 52ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1731
Country	:	US
Telephone Number	:	718-360-9548
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YECHESKEL HALBERSTAM
Credential	:
Telephone Number	:	866-352-5010

Provider Enumeration Date	:	01/09/2017
Last Update Date	:	02/09/2024

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Directions to “APPLIED BEHAVIORAL MENTAL HEALTH COUNSELING ” Practice Location

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