# PROSPECT KIDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124489638
- **Authorized official:** MR. ALEKSANDR TOLMACH (CEO)
- **Authorized official phone:** (347) 921-3250

## Contact information

- **Practice address:** 2102 AVENUE Z, SUITE 304, BROOKLYN, NY 11235-2812
- **Practice address phone:** (718) 351-6248
- **Mailing address:** 2102 AVENUE Z, SUITE 304, BROOKLYN, NY 11235-2812
- **Mailing address phone:** (347) 921-3250
- **Mailing address fax:** (347) 779-0433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2016
- **Last updated:** 05/23/2023