| Bold Arrow Licensed Behavior Analyst Pc | |
|
6 Laura Dr Airmont NY 10952-3402 | |
| (718) 222-5999 | |
| (718) 387-6429 |
| Full Name | Bold Arrow Licensed Behavior Analyst Pc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6 Laura Dr, Airmont, New York |
| Authorized Official Name and Position | Yitzchak Lubart (CEO) |
| Authorized Official Contact | 7182225999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bold Arrow Licensed Behavior Analyst Pc 6 Laura Dr Airmont NY 10952-3402 Ph: (718) 222-5999 | Bold Arrow Licensed Behavior Analyst Pc 6 Laura Dr Airmont NY 10952-3402 Ph: (718) 222-5999 |
| NPI Number | 1346900925 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346900925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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