| Upward Licensed Behavior Analyst Pllc | |
|
815 Anawana Lake Rd Monticello NY 12701-3252 | |
| (718) 935-1632 | |
| Not Available |
| Full Name | Upward Licensed Behavior Analyst Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 815 Anawana Lake Rd, Monticello, New York |
| Authorized Official Name and Position | Rachel Gluck (LBA) |
| Authorized Official Contact | 7189351632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upward Licensed Behavior Analyst Pllc 256 Throop Ave Apt 2c Brooklyn NY 11206-3633 Ph: (347) 957-2657 | Upward Licensed Behavior Analyst Pllc 815 Anawana Lake Rd Monticello NY 12701-3252 Ph: (718) 935-1632 |
| NPI Number | 1477316354 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477316354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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