Individual provider · NPI-1
Diane Heller, MS, BCBA
Behavior Analyst · Babylon, NY
NPI number1730332107
StatusActive
Last updated in NPPESJun 13, 2012
Details
- NPI
- 1730332107
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Diane Heller
- Credential
- MS, BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2008
- Last updated
- Jun 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-07-3812 | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 174400000X | Specialist | – | – |
Practice location
2 E Harrison AveBabylon, NY 11702-4207
Phone 631-742-4566
Mailing address
2 E Harrison AveBabylon, NY 11702-4207
Phone 631-742-4566
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