| Bridge Licensed Behavior Analysis Pllc | |
|
457 Mountainview Ave Staten Island NY 10314-6484 | |
| (929) 262-1603 | |
| Not Available |
| Full Name | Bridge Licensed Behavior Analysis Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 457 Mountainview Ave, Staten Island, New York |
| Authorized Official Name and Position | Yitzchok Garfinkel (CEO) |
| Authorized Official Contact | 9292621603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Licensed Behavior Analysis Pllc 457 Mountainview Ave Staten Island NY 10314-6484 Ph: (929) 262-1603 | Bridge Licensed Behavior Analysis Pllc 457 Mountainview Ave Staten Island NY 10314-6484 Ph: (929) 262-1603 |
| NPI Number | 1194595868 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194595868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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