| Branch Out Licensed Behavior Analysts, Pllc | |
|
81 Fleet Pl Apt 16c Brooklyn NY 11201-8022 | |
| (952) 215-6608 | |
| (952) 215-6608 |
| Full Name | Branch Out Licensed Behavior Analysts, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 81 Fleet Pl Apt 16c, Brooklyn, New York |
| Authorized Official Name and Position | Sarah Camp Camp (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9083918760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branch Out Licensed Behavior Analysts, Pllc 147 Prince St Brooklyn NY 11201-3022 Ph: (908) 391-8760 | Branch Out Licensed Behavior Analysts, Pllc 81 Fleet Pl Apt 16c Brooklyn NY 11201-8022 Ph: (952) 215-6608 |
| NPI Number | 1396250064 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 05/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396250064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (New York) | Primary |
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