Provider Demographics
NPI:1649885088
Name:ZEAL BEHAVIOR ANALYSIS, P.C.
Entity type:Organization
Organization Name:ZEAL BEHAVIOR ANALYSIS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:I
Authorized Official - Last Name:LOMBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, LBA
Authorized Official - Phone:516-220-8316
Mailing Address - Street 1:58 17TH ST APT C3
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2440
Mailing Address - Country:US
Mailing Address - Phone:516-220-8316
Mailing Address - Fax:516-390-0954
Practice Address - Street 1:58 17TH ST APT C3
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2440
Practice Address - Country:US
Practice Address - Phone:516-220-8316
Practice Address - Fax:516-390-0954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-12
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty