| Excel Together Licensed Behavior Analysis, Pllc | |
|
14820 9th Ave Whitestone NY 11357-1630 | |
| (646) 549-6291 | |
| Not Available |
| Full Name | Excel Together Licensed Behavior Analysis, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14820 9th Ave, Whitestone, New York |
| Authorized Official Name and Position | Jessica Chan (OWNER) |
| Authorized Official Contact | 6465496291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Together Licensed Behavior Analysis, Pllc 14820 9th Ave Whitestone NY 11357-1630 Ph: (646) 549-6291 | Excel Together Licensed Behavior Analysis, Pllc 14820 9th Ave Whitestone NY 11357-1630 Ph: (646) 549-6291 |
| NPI Number | 1720818230 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720818230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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