Aviva Licht, Special Ed
Specialist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1982122792
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982122792
- Entity type
- Individual (NPI-1)
- Name
- Aviva Licht
- Credential
- Special Ed
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1312 38th StreetBrooklyn, NY 11218
Phone 718-686-3700 · Fax 718-686-2395
Mailing address
1312 38th StBrooklyn, NY 11218-3612
Phone 718-686-3700 · Fax 718-686-2395
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