| Licensed Applied Behavior Analysis Of Ny P.c. | |
|
2417 Jericho Tpke # 124 Garden City Park NY 11040-4710 | |
| (516) 778-8871 | |
| Not Available |
| Full Name | Licensed Applied Behavior Analysis Of Ny P.c. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2417 Jericho Tpke # 124, Garden City Park, New York |
| Authorized Official Name and Position | Mariann Lai (CEO & FOUNDER) |
| Authorized Official Contact | 5167788871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licensed Applied Behavior Analysis Of Ny P.c. 2417 Jericho Turnpike #124 Garden City Park NY 11410 Ph: (516) 778-8871 | Licensed Applied Behavior Analysis Of Ny P.c. 2417 Jericho Tpke # 124 Garden City Park NY 11040-4710 Ph: (516) 778-8871 |
| NPI Number | 1275920191 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 04/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275920191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 000094 (New York) | Primary |
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