# EMPOWER KIDS LICENSED BEHAVIOR ANALYSTS PLLC

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

## Provider details

- **NPI number:** 1720979628
- **Authorized official:** ETTY BRACH BCBA, LBA (OWNER)
- **Authorized official phone:** (347) 534-7728

## Contact information

- **Practice address:** 940 CHESTNUT RIDGE RD, SPRING VALLEY, NY 10977-6608
- **Practice address phone:** (845) 218-8069
- **Mailing address:** 940 CHESTNUT RIDGE RD, SPRING VALLEY, NY 10977-6608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2025
- **Last updated:** 07/10/2025