Provider Demographics
NPI:1548522352
Name:KALENSKY, JANA (MS SPED/ED, BCBA)
Entity type:Individual
Prefix:MRS
First Name:JANA
Middle Name:
Last Name:KALENSKY
Suffix:
Gender:F
Credentials:MS SPED/ED, BCBA
Other - Prefix:MRS
Other - First Name:JANA
Other - Middle Name:
Other - Last Name:DIAMOND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS SPED/ED,BCBA
Mailing Address - Street 1:209-48 41ST AVENUE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361
Mailing Address - Country:US
Mailing Address - Phone:646-765-5372
Mailing Address - Fax:
Practice Address - Street 1:209-48 41ST AVENUE
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361
Practice Address - Country:US
Practice Address - Phone:646-765-5372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst