National Provider Identifier Database

RED DOOR INDIVIDUALIZED LEARNING PROGRAM LLC
Cognitive & Behavioral

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.


Contact Information

RED DOOR INDIVIDUALIZED LEARNING PROGRAM LLC
30 W COLUMBIA ST
HEMPSTEAD, NY11550-2411
Phone: 516-385-2323
Fax: 516-481-4201
Website:
Specialty Taxonomy Code
* Cognitive & Behavioral 103TB0200X
Adolescent and Children Mental Health 261QM0855X
Clinical Child & Adolescent 103TC2200X
Community/Behavioral Health 251S00000X
Developmental Disabilities 261QD1600X

* Indicates primary specialty

NPI Profile & details for RED DOOR INDIVIDUALIZED LEARNING PROGRAM LLC

NPI Number 1821768375
Legal business name
LBN
RED DOOR INDIVIDUALIZED LEARNING PROGRAM LLC
Authorized official GREGORY DOMOND - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/16/2021
Last updated 09/16/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for RED DOOR INDIVIDUALIZED LEARNING PROGRAM LLC

There are currently no reviews for RED DOOR INDIVIDUALIZED LEARNING PROGRAM LLC


NPIdb - Home
v2.201