MEDICARE: LICENSED BEHAVIOR ANALYST EMPOWERING PLLC

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1497634331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LICENSED BEHAVIOR ANALYST EMPOWERING PLLC

Provider Business Mailing Address
First Line	:	1642 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5808
Country	:	US
Telephone Number	:	718-872-6051
Fax Number	:

Provider Business Practice Location Address
First Line	:	1642 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5808
Country	:	US
Telephone Number	:	718-872-6051
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIMEIR ADELMAN
Credential	:
Telephone Number	:	718-872-6051

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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