| Brightside Aba | |
|
46 Washington Ave Ste 1 Suffern NY 10901-5608 | |
| (201) 510-0688 | |
| Not Available |
| Full Name | Brightside Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 46 Washington Ave Ste 1, Suffern, New York |
| Authorized Official Name and Position | Eli Konovitch (OWNER) |
| Authorized Official Contact | 2015100688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Aba 46 Washington Ave Ste 1 Suffern NY 10901-5608 Ph: () - | Brightside Aba 46 Washington Ave Ste 1 Suffern NY 10901-5608 Ph: (201) 510-0688 |
| NPI Number | 1588329353 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 11/05/2021 |
| Certification Date | 11/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588329353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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