Organization
ILLUMINATE ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE DRAZIN (OWNER)
(212) 235-1231
Entity
Organization
Contact information
Practice address
2733 A EAST 12TH STREET, BROOKLYN, NY 11235
(334) 558-6228
Mailing address
2733A E 12TH ST # C2, BROOKLYN, NY 11235-4601
(248) 846-8700
(248) 846-8703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/21/2021
Last updated
06/12/2026
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