| Blue Horizons | |
|
15618 96th St Howard Beach NY 11414-2807 | |
| (917) 518-2873 | |
| (718) 338-4597 |
| Full Name | Blue Horizons |
|---|---|
| Speciality | Behavior Technician |
| Location | 15618 96th St, Howard Beach, New York |
| Authorized Official Name and Position | Abaigail Serrette (MANAGING DIR.) |
| Authorized Official Contact | 9175182873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Horizons 15618 96th St Howard Beach NY 11414-2807 Ph: (917) 518-2873 | Blue Horizons 15618 96th St Howard Beach NY 11414-2807 Ph: (917) 518-2873 |
| NPI Number | 1497246110 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497246110 | NPI | - | NPPES |
| 722350910 | Other | NY | DRIVERS LIC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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