Brabham, Karen

Brabham, Karen is an sole proprietor health care provider with primary practice located at 23 Marlow Rd , Valley Stream NY 11580-3705. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Brabham, Karen can be contacted via phone (516) 884-7742.

Contact Information

Primary practice address
23 Marlow Rd Valley Stream NY 11580-3705
Fax: (516) 561-5358
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X PERMANENT New York

Profile Details

NPI number 1114364833
LBN Legal business name Brabham, Karen
Credentials ED.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2013
Last updated Jun 4th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114364833 NPPES
New York MEDICAID 03547335

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