| Brian Goldman Licensed Behavioral Analysis Pllc | |
|
35 Lee Ave East Williston NY 11596-2424 | |
| (516) 376-2055 | |
| (800) 874-0959 |
| Full Name | Brian Goldman Licensed Behavioral Analysis Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 35 Lee Ave, East Williston, New York |
| Authorized Official Name and Position | Brian Goldman (OWNER) |
| Authorized Official Contact | 5163762055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Goldman Licensed Behavioral Analysis Pllc 35 Lee Ave East Williston NY 11596-2424 Ph: (516) 376-2055 | Brian Goldman Licensed Behavioral Analysis Pllc 35 Lee Ave East Williston NY 11596-2424 Ph: (516) 376-2055 |
| NPI Number | 1538855796 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538855796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |