| Luminary Applied Behavior Analysis P.c. | |
|
1115 Vincent Ave Apt 3 Bronx NY 10465-1453 | |
| (646) 290-0962 | |
| Not Available |
| Full Name | Luminary Applied Behavior Analysis P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1115 Vincent Ave Apt 3, Bronx, New York |
| Authorized Official Name and Position | Tyler Lontae Conteh (PRESIDENT) |
| Authorized Official Contact | 7188085830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminary Applied Behavior Analysis P.c. 1115 Vincent Ave Apt 3 Bronx NY 10465-1453 Ph: (718) 808-5830 | Luminary Applied Behavior Analysis P.c. 1115 Vincent Ave Apt 3 Bronx NY 10465-1453 Ph: (646) 290-0962 |
| NPI Number | 1184434144 |
|---|---|
| Provider Enumeration Date | 01/11/2025 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184434144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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