Provider Demographics
NPI:1447474093
Name:CHILD BEHAVIOR THERAPY ASSOCIATES, LLP
Entity type:Organization
Organization Name:CHILD BEHAVIOR THERAPY ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:R
Authorized Official - Last Name:KALFUS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-235-2800
Mailing Address - Street 1:14 LESLIE PLACE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804
Mailing Address - Country:US
Mailing Address - Phone:914-235-2800
Mailing Address - Fax:914-417-4932
Practice Address - Street 1:14 LESLIE PLACE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804
Practice Address - Country:US
Practice Address - Phone:914-235-2800
Practice Address - Fax:914-417-4932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008211-1103TC2200X
NY010058-1103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty