| Lake Effect Applied Behavior Analysis Pllc | |
|
4195 Route 219 Trlr 39 Salamanca NY 14779-9603 | |
| (716) 249-1310 | |
| (716) 828-8266 |
| Full Name | Lake Effect Applied Behavior Analysis Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4195 Route 219 Trlr 39, Salamanca, New York |
| Authorized Official Name and Position | Catherine Mcclure (OWNER) |
| Authorized Official Contact | 6178998613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Effect Applied Behavior Analysis Pllc 4195 Route 219 Trlr 39 Salamanca NY 14779-9603 Ph: () - | Lake Effect Applied Behavior Analysis Pllc 4195 Route 219 Trlr 39 Salamanca NY 14779-9603 Ph: (716) 249-1310 |
| NPI Number | 1376346403 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376346403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |