MEDICARE: PROGRESS UP ABA 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1639021694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESS UP ABA LLC

Provider Business Mailing Address
First Line	:	1959 53RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1744
Country	:	US
Telephone Number	:	917-405-1348
Fax Number	:

Provider Business Practice Location Address
First Line	:	699 E 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-5703
Country	:	US
Telephone Number	:	917-405-1348
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHAYA GUTWEIN
Credential	:	MA
Telephone Number	:	917-405-1348

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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