| Kids Learning Loft Aba Services, Pllc | |
|
436 Willis Ave Ste 3 Williston Park NY 11596-2298 | |
| (516) 741-0729 | |
| (516) 209-4556 |
| Full Name | Kids Learning Loft Aba Services, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 436 Willis Ave Ste 3, Williston Park, New York |
| Authorized Official Name and Position | Jennifer Kourassanis-velasquez (CO-DIRECTOR) |
| Authorized Official Contact | 5167410729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Learning Loft Aba Services, Pllc 305 Hillside Ave Williston Park NY 11596-2102 Ph: (516) 741-0729 | Kids Learning Loft Aba Services, Pllc 436 Willis Ave Ste 3 Williston Park NY 11596-2298 Ph: (516) 741-0729 |
| NPI Number | 1962758946 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 04/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962758946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (New York) | Primary |
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