Provider Demographics
NPI:1851780837
Name:GREENBERG, DARA (BA, MS)
Entity type:Individual
Prefix:
First Name:DARA
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:BA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MOUNTAINVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-2010
Mailing Address - Country:US
Mailing Address - Phone:516-503-8328
Mailing Address - Fax:
Practice Address - Street 1:36 MOUNTAINVIEW AVE
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-2010
Practice Address - Country:US
Practice Address - Phone:516-503-8328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-14
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY843948141174400000X
NY004312103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist