| Empower Kids Licensed Applied Behavioral Analyst Pllc | |
|
80 Red Schoolhouse Rd Ste 107 Spring Valley NY 10977-7052 | |
| (845) 218-8069 | |
| (845) 364-6332 |
| Full Name | Empower Kids Licensed Applied Behavioral Analyst Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 80 Red Schoolhouse Rd Ste 107, Spring Valley, New York |
| Authorized Official Name and Position | Gitty Brach (CFO) |
| Authorized Official Contact | 8452188069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Kids Licensed Applied Behavioral Analyst Pllc 80 Red Schoolhouse Rd Ste 107 Spring Valley NY 10977-7052 Ph: (845) 218-8069 | Empower Kids Licensed Applied Behavioral Analyst Pllc 80 Red Schoolhouse Rd Ste 107 Spring Valley NY 10977-7052 Ph: (845) 218-8069 |
| NPI Number | 1316401391 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316401391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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