| Licensed Applied Behavior Analysis Services Of New York P.c. | |
|
25 Dolphin Grn Apt G2c Port Washington NY 11050-3163 | |
| (347) 697-0904 | |
| Not Available |
| Full Name | Licensed Applied Behavior Analysis Services Of New York P.c. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 25 Dolphin Grn Apt G2c, Port Washington, New York |
| Authorized Official Name and Position | Megan Miller (CEO) |
| Authorized Official Contact | 3476970904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licensed Applied Behavior Analysis Services Of New York P.c. 25 Dolphin Grn Apt G2c Port Washington NY 11050-3163 Ph: (347) 697-0904 | Licensed Applied Behavior Analysis Services Of New York P.c. 25 Dolphin Grn Apt G2c Port Washington NY 11050-3163 Ph: (347) 697-0904 |
| NPI Number | 1811510134 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 03/25/2025 |
| Certification Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811510134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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