| Functional Development Licensed Behavioral Analyst Llc | |
|
4 Muncee Ct Holmdel NJ 07733-1246 | |
| (718) 415-9046 | |
| Not Available |
| Full Name | Functional Development Licensed Behavioral Analyst Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4 Muncee Ct, Holmdel, New Jersey |
| Authorized Official Name and Position | Ganna Bartasheva (OWNER) |
| Authorized Official Contact | 7184159046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Development Licensed Behavioral Analyst Llc 4 Muncee Ct Holmdel NJ 07733-1246 Ph: () - | Functional Development Licensed Behavioral Analyst Llc 4 Muncee Ct Holmdel NJ 07733-1246 Ph: (718) 415-9046 |
| NPI Number | 1821831371 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821831371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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