MEDICARE: APPLIED BEHAVIORAL CONSULTING, 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1649503376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLIED BEHAVIORAL CONSULTING, INC.

Provider Business Mailing Address
First Line	:	372 FULLERTON AVE
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-3744
Country	:	US
Telephone Number	:	845-300-9301
Fax Number	:

Provider Business Practice Location Address
First Line	:	372 FULLERTON AVE
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-3744
Country	:	US
Telephone Number	:	845-300-9301
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LISA DELANEY RINALDO
Credential	:	MA, BCBA
Telephone Number	:	845-300-9301

Provider Enumeration Date	:	09/14/2009
Last Update Date	:	09/14/2009

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