Provider Demographics
NPI:1700138641
Name:PINHASOV, ADELINA (MS ED, BCBA, LBA)
Entity type:Individual
Prefix:MISS
First Name:ADELINA
Middle Name:
Last Name:PINHASOV
Suffix:
Gender:F
Credentials:MS ED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 EDWARDS ST APT 4FE
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1191
Mailing Address - Country:US
Mailing Address - Phone:646-269-7626
Mailing Address - Fax:
Practice Address - Street 1:3635 170TH ST
Practice Address - Street 2:# 18
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2222
Practice Address - Country:US
Practice Address - Phone:646-269-7626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYSE593325121174400000X
NY001554103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist