| Growing Licensed Behavior Analyst, Pllc | |
|
3 Hampton Dr Center Moriches NY 11934-2704 | |
| (631) 599-9800 | |
| Not Available |
| Full Name | Growing Licensed Behavior Analyst, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3 Hampton Dr, Center Moriches, New York |
| Authorized Official Name and Position | Carly Pronsky (FOUNDER) |
| Authorized Official Contact | 6315999800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Licensed Behavior Analyst, Pllc 3 Hampton Dr Center Moriches NY 11934-2704 Ph: () - | Growing Licensed Behavior Analyst, Pllc 3 Hampton Dr Center Moriches NY 11934-2704 Ph: (631) 599-9800 |
| NPI Number | 1326824327 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326824327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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