| A Friendly Face Licensed Behavior Analyst | |
|
1887 Richmond Ave Ste 5 Staten Island NY 10314-3923 | |
| (718) 698-1300 | |
| (917) 667-8601 |
| Full Name | A Friendly Face Licensed Behavior Analyst |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1887 Richmond Ave Ste 5, Staten Island, New York |
| Authorized Official Name and Position | Anna Marie Dorelien (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7186981300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Friendly Face Licensed Behavior Analyst 1887 Richmond Ave Ste 5 Staten Island NY 10314-3923 Ph: (718) 698-1300 | A Friendly Face Licensed Behavior Analyst 1887 Richmond Ave Ste 5 Staten Island NY 10314-3923 Ph: (718) 698-1300 |
| NPI Number | 1003515222 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003515222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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