# PROGRESSIVE BEHAVIORAL PSYCHOLOGY SERVICES NEW YORK PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Autism Partnership New York
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326716317
- **Authorized official:** IVY DIMAS (BILLING SPECIALIST)
- **Authorized official phone:** (224) 422-9760

## Contact information

- **Practice address:** 344 E 59TH ST FL 2, NEW YORK, NY 10022-1593
- **Practice address phone:** (562) 431-9293
- **Practice address fax:** (562) 685-0413
- **Mailing address:** 200 MARINA DR, SEAL BEACH, CA 90740-6023
- **Mailing address phone:** (562) 431-9293
- **Mailing address fax:** (562) 685-0413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |

## Other

- **Enumeration date:** 09/02/2021
- **Last updated:** 11/27/2023