| Star Reach Aba Llc | |
|
418 Broadway Ste R Albany NY 12207-2922 | |
| (914) 888-6172 | |
| Not Available |
| Full Name | Star Reach Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 418 Broadway Ste R, Albany, New York |
| Authorized Official Name and Position | Xiao Fu (DIRECTOR) |
| Authorized Official Contact | 9148886172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Reach Aba Llc 418 Broadway # 7055 Albany NY 12207-2922 Ph: (914) 888-6172 | Star Reach Aba Llc 418 Broadway Ste R Albany NY 12207-2922 Ph: (914) 888-6172 |
| NPI Number | 1821899089 |
|---|---|
| Provider Enumeration Date | 03/24/2025 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821899089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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