| Ga 12 Kids Llc | |
|
1255 E 31st St Brooklyn NY 11210-4740 | |
| (929) 466-1305 | |
| Not Available |
| Full Name | Ga 12 Kids Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1255 E 31st St, Brooklyn, New York |
| Authorized Official Name and Position | Sim Bendet (DIRECTOR) |
| Authorized Official Contact | 3476689113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ga 12 Kids Llc 1255 E 31st St Brooklyn NY 11210-4740 Ph: (929) 466-1305 | Ga 12 Kids Llc 1255 E 31st St Brooklyn NY 11210-4740 Ph: (929) 466-1305 |
| NPI Number | 1003508979 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003508979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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