| Shining Star Licensed Behavior Analyst Pllc | |
|
4819 14th Ave Brooklyn NY 11219-3166 | |
| (718) 298-3695 | |
| Not Available |
| Full Name | Shining Star Licensed Behavior Analyst Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4819 14th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Abraham Weiss (DIRECTOR) |
| Authorized Official Contact | 7182983695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Star Licensed Behavior Analyst Pllc 4819 14th Ave Brooklyn NY 11219-3166 Ph: (718) 298-3695 | Shining Star Licensed Behavior Analyst Pllc 4819 14th Ave Brooklyn NY 11219-3166 Ph: (718) 298-3695 |
| NPI Number | 1487352373 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487352373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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