| Alpha & Omega Kids Developmental Services | |
|
1797 Pitkin Ave Brooklyn NY 11212-7841 | |
| (347) 424-6343 | |
| (718) 922-9202 |
| Full Name | Alpha & Omega Kids Developmental Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1797 Pitkin Ave, Brooklyn, New York |
| Authorized Official Name and Position | Wilma Ivette Gutierrez (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3474246343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha & Omega Kids Developmental Services 1797 Pitkin Ave Brooklyn NY 11212-7841 Ph: (347) 424-6343 | Alpha & Omega Kids Developmental Services 1797 Pitkin Ave Brooklyn NY 11212-7841 Ph: (347) 424-6343 |
| NPI Number | 1063035657 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 05/18/2020 |
| Certification Date | 05/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063035657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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