| Sparkle Licensed Behavior Analyst Pc | |
|
3 Austra Pkwy Unit 4 Monroe NY 10950-6857 | |
| (845) 251-0070 | |
| Not Available |
| Full Name | Sparkle Licensed Behavior Analyst Pc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3 Austra Pkwy Unit 4, Monroe, New York |
| Authorized Official Name and Position | Mordechai Leifer (OWNER) |
| Authorized Official Contact | 7186507894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkle Licensed Behavior Analyst Pc 51 Forest Rd Ste 316-002 Monroe NY 10950-2948 Ph: (845) 251-0070 | Sparkle Licensed Behavior Analyst Pc 3 Austra Pkwy Unit 4 Monroe NY 10950-6857 Ph: (845) 251-0070 |
| NPI Number | 1275379687 |
|---|---|
| Provider Enumeration Date | 07/04/2024 |
| Last Update Date | 08/04/2025 |
| Certification Date | 08/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275379687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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