# TEAMWORK LICENSED BEHAVIOR ANALYST SERVICES, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1528797735
- **Authorized official:** NIA WATERHOUSE (BEHAVIOR TECHNICIAN)
- **Authorized official phone:** (954) 701-4632

## Contact information

- **Practice address:** 127 W 30TH ST, NEW YORK, NY 10001-3406
- **Practice address phone:** (646) 410-5871
- **Practice address fax:** (347) 619-0735
- **Mailing address:** 127 W 30TH ST, NEW YORK, NY 10001-3406
- **Mailing address phone:** (646) 410-5871
- **Mailing address fax:** (347) 619-0735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106S00000X | Behavior Technician | — | NULL | Yes |
| 106S00000X | Behavior Technician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2022
- **Last updated:** 06/06/2022