Holistic Licensed Behavioral Analysts LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

HOLISTIC LICENSED BEHAVIORAL ANALYSTS LLC

Practice address

3540 N 53Rd Ave
Hollywood, FL 33021-2334

Phone

(866) 352-5010

NPI assigned

Jun 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yakov Halberstam

Title

Director

Phone

(866) 352-5010

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1477285518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SHERIDAN ST STE 501",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 N 53RD AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212334",
            "telephone_number": "866-352-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC LICENSED BEHAVIORAL ANALYSTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "HALBERSTAM",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-352-5010"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.