| Early Interventions Licensed Behavior Analyst Ny Pllc | |
|
52 Hibernia Rd Fl 2 Salt Point NY 12578-2104 | |
| (917) 797-9533 | |
| Not Available |
| Full Name | Early Interventions Licensed Behavior Analyst Ny Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 52 Hibernia Rd, Salt Point, New York |
| Authorized Official Name and Position | Helene Maria Czech (LICENSED BEHAVIOR ANALYST) |
| Authorized Official Contact | 9177979533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Early Interventions Licensed Behavior Analyst Ny Pllc Po Box 136 Salt Point NY 12578-0136 Ph: (917) 797-9533 | Early Interventions Licensed Behavior Analyst Ny Pllc 52 Hibernia Rd Fl 2 Salt Point NY 12578-2104 Ph: (917) 797-9533 |
| NPI Number | 1902278781 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902278781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000910 (New York) | Primary |
Early Interventions Ny Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Hibernia Rd, Fl 2, Salt Point, NY 12578 Phone: 917-797-9533 |