| Mind Go Applied Behavior Analyst | |
|
4205 17th Ave Apt 3 Brooklyn NY 11204-1029 | |
| (347) 675-6102 | |
| Not Available |
| Full Name | Mind Go Applied Behavior Analyst |
|---|---|
| Speciality | Clinic/center |
| Location | 4205 17th Ave Apt 3, Brooklyn, New York |
| Authorized Official Name and Position | Zlaty Kahan (CEO) |
| Authorized Official Contact | 3476756102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Go Applied Behavior Analyst 4205 17th Ave Apt 3 Brooklyn NY 11204-1029 Ph: (347) 675-6102 | Mind Go Applied Behavior Analyst 4205 17th Ave Apt 3 Brooklyn NY 11204-1029 Ph: (347) 675-6102 |
| NPI Number | 1841868940 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841868940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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