Brian Goldman Licensed Behavioral Analysis Pllc | |
35 Lee Ave East Williston NY 11596-2424 | |
(516) 376-2055 | |
(800) 874-0959 |
Full Name | Brian Goldman Licensed Behavioral Analysis Pllc |
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Speciality | Behavior Analyst |
Location | 35 Lee Ave, East Williston, New York |
Authorized Official Name and Position | Brian Goldman (OWNER) |
Authorized Official Contact | 5163762055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brian Goldman Licensed Behavioral Analysis Pllc 35 Lee Ave East Williston NY 11596-2424 Ph: (516) 376-2055 | Brian Goldman Licensed Behavioral Analysis Pllc 35 Lee Ave East Williston NY 11596-2424 Ph: (516) 376-2055 |
NPI Number | 1538855796 |
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Provider Enumeration Date | 04/12/2023 |
Last Update Date | 05/12/2023 |
Certification Date | 05/12/2023 |
Identifier | Type | State | Issuer |
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1538855796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |