Provider Demographics
NPI:1619368172
Name:ACHIEVEMENT BEHAVIOR CARE INC
Entity type:Organization
Organization Name:ACHIEVEMENT BEHAVIOR CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL ANALYSIS
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIRTZA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDENBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, BCBA, LBA
Authorized Official - Phone:516-967-0821
Mailing Address - Street 1:341 TRINITY PL
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1234
Mailing Address - Country:US
Mailing Address - Phone:516-229-1194
Mailing Address - Fax:516-329-9747
Practice Address - Street 1:572 PALM LN
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3024
Practice Address - Country:US
Practice Address - Phone:516-967-0821
Practice Address - Fax:516-538-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00494252Y00000X
NY070346104100000X
NY000494103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty