| Flourishing Minds Applied Behavior Analyst Pc | |
|
79 Raff Ave Floral Park NY 11001-3624 | |
| (848) 459-8885 | |
| Not Available |
| Full Name | Flourishing Minds Applied Behavior Analyst Pc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 79 Raff Ave, Floral Park, New York |
| Authorized Official Name and Position | Patricia Campanaro (ATTORNEY AT LAW) |
| Authorized Official Contact | 8452214099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourishing Minds Applied Behavior Analyst Pc 2040 White Plains Rd # 1082 Bronx NY 10462-1464 Ph: () - | Flourishing Minds Applied Behavior Analyst Pc 79 Raff Ave Floral Park NY 11001-3624 Ph: (848) 459-8885 |
| NPI Number | 1366177818 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366177818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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