Provider Demographics
NPI:1538879416
Name:VIBRANT APPLIED BEHAVIOR THERAPY PLLC
Entity type:Organization
Organization Name:VIBRANT APPLIED BEHAVIOR THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-925-2397
Mailing Address - Street 1:46 COOK ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4004
Mailing Address - Country:US
Mailing Address - Phone:718-925-2397
Mailing Address - Fax:718-925-2398
Practice Address - Street 1:46 COOK ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-4004
Practice Address - Country:US
Practice Address - Phone:718-925-2397
Practice Address - Fax:718-925-2398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty