| Progress 2 Success LLC | |
|
286 S Main St Liberty NY 12754-2014 | |
| (347) 977-7095 | |
| Not Available |
| Full Name | Progress 2 Success LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 286 S Main St, Liberty, New York |
| Authorized Official Name and Position | Sim B (AGENT) |
| Authorized Official Contact | 3479777095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progress 2 Success LLC 286 S Main St Liberty NY 12754-2014 | Progress 2 Success LLC 286 S Main St Liberty NY 12754-2014 Ph: (347) 977-7095 |
| NPI Number | 1891416210 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891416210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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