| Compass Applied Behavior Analysis, Pllc | |
|
17 Wayne Ct Queensbury NY 12804-9108 | |
| (518) 744-4834 | |
| (518) 203-1353 |
| Full Name | Compass Applied Behavior Analysis, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17 Wayne Ct, Queensbury, New York |
| Authorized Official Name and Position | Justin D'ambrosio (OWNER) |
| Authorized Official Contact | 5187444834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Applied Behavior Analysis, Pllc 17 Wayne Ct Queensbury NY 12804-9108 Ph: (518) 744-4834 | Compass Applied Behavior Analysis, Pllc 17 Wayne Ct Queensbury NY 12804-9108 Ph: (518) 744-4834 |
| NPI Number | 1831558279 |
|---|---|
| Provider Enumeration Date | 02/13/2016 |
| Last Update Date | 05/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831558279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 719 (New York) | Primary |
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