Provider Demographics
NPI:1902698988
Name:COMPREHENSIVE APPLIED BEHAVIOR ANALYSIS
Entity type:Organization
Organization Name:COMPREHENSIVE APPLIED BEHAVIOR ANALYSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:347-907-1591
Mailing Address - Street 1:2204 CORNER ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1852
Mailing Address - Country:US
Mailing Address - Phone:347-907-1591
Mailing Address - Fax:
Practice Address - Street 1:2204 CORNER ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1852
Practice Address - Country:US
Practice Address - Phone:347-907-1591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY08063834Medicaid