| My Lane Applied Behavior Analysis, Pllc | |
|
67 Adams Rd # D1f Central Islip NY 11722-2240 | |
| (917) 530-3208 | |
| Not Available |
| Full Name | My Lane Applied Behavior Analysis, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 67 Adams Rd # D1f, Central Islip, New York |
| Authorized Official Name and Position | Khalia Musa (OWNER) |
| Authorized Official Contact | 9175303208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Lane Applied Behavior Analysis, Pllc 67 Adams Rd # D1f Central Islip NY 11722-2240 Ph: (917) 530-3208 | My Lane Applied Behavior Analysis, Pllc 67 Adams Rd # D1f Central Islip NY 11722-2240 Ph: (917) 530-3208 |
| NPI Number | 1912884370 |
|---|---|
| Provider Enumeration Date | 08/18/2025 |
| Last Update Date | 08/18/2025 |
| Certification Date | 08/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912884370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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