| Lasting Bases Aba LLC | |
|
63 New Main Street 1st Floor Haverstraw NY 10927 | |
| (929) 466-1305 | |
| Not Available |
| Full Name | Lasting Bases Aba LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 63 New Main Street, Haverstraw, New York |
| Authorized Official Name and Position | Sim B (MEMBER) |
| Authorized Official Contact | 9294661305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Bases Aba LLC 63 New Main Street 1st Floor Haverstraw NY 10927 Ph: (929) 466-1305 | Lasting Bases Aba LLC 63 New Main Street 1st Floor Haverstraw NY 10927 Ph: (929) 466-1305 |
| NPI Number | 1073407961 |
|---|---|
| Provider Enumeration Date | 06/05/2025 |
| Last Update Date | 06/05/2025 |
| Certification Date | 06/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073407961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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