| Can Licensed Behavior Analysis Pc | |
|
354 Veterans Memorial Hwy Ste 3 Commack NY 11725-4331 | |
| (516) 220-1049 | |
| Not Available |
| Full Name | Can Licensed Behavior Analysis Pc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 354 Veterans Memorial Hwy Ste 3, Commack, New York |
| Authorized Official Name and Position | Kimberly Canino (OWNER/CLINICIAN) |
| Authorized Official Contact | 5162201049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Can Licensed Behavior Analysis Pc 354 Veterans Memorial Hwy Ste 3 Commack NY 11725-4331 Ph: () - | Can Licensed Behavior Analysis Pc 354 Veterans Memorial Hwy Ste 3 Commack NY 11725-4331 Ph: (516) 220-1049 |
| NPI Number | 1639923105 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639923105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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