| Creative Licensed Behavior Analyst P.c. | |
|
6262 Woodhaven Blvd Apt S34 Rego Park NY 11374-3726 | |
| (646) 384-2385 | |
| Not Available |
| Full Name | Creative Licensed Behavior Analyst P.c. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6262 Woodhaven Blvd Apt S34, Rego Park, New York |
| Authorized Official Name and Position | Sibila Abramov (OWNER) |
| Authorized Official Contact | 6463842385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Licensed Behavior Analyst P.c. 6262 Woodhaven Blvd Apt S34 Rego Park NY 11374-3726 Ph: () - | Creative Licensed Behavior Analyst P.c. 6262 Woodhaven Blvd Apt S34 Rego Park NY 11374-3726 Ph: (646) 384-2385 |
| NPI Number | 1285185595 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285185595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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