| Andretta Behavior Analysts, Inc. | |
|
14 Rassmussen Pl Melville NY 11747-1528 | |
| (631) 961-1405 | |
| (631) 673-1222 |
| Full Name | Andretta Behavior Analysts, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14 Rassmussen Pl, Melville, New York |
| Authorized Official Name and Position | Melissa Jo Andretta (DIRECTOR) |
| Authorized Official Contact | 6319611405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andretta Behavior Analysts, Inc. 14 Rassmussen Pl Melville NY 11747-1528 Ph: (631) 961-1405 | Andretta Behavior Analysts, Inc. 14 Rassmussen Pl Melville NY 11747-1528 Ph: (631) 961-1405 |
| NPI Number | 1629223987 |
|---|---|
| Provider Enumeration Date | 11/28/2008 |
| Last Update Date | 11/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629223987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1031217 (New York) | Primary |
| 252Y00000X | Early Intervention Provider Agency | 099685556 (New York) | Secondary |
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