| New Directions Licensed Behavior Analysis | |
|
488 85th St Apt 4f Brooklyn NY 11209-4717 | |
| (718) 207-0959 | |
| Not Available |
| Full Name | New Directions Licensed Behavior Analysis |
|---|---|
| Speciality | Behavior Analyst |
| Location | 488 85th St Apt 4f, Brooklyn, New York |
| Authorized Official Name and Position | Madonna Bonny (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7182070959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Directions Licensed Behavior Analysis 488 85th St Apt 4f Brooklyn NY 11209-4717 Ph: () - | New Directions Licensed Behavior Analysis 488 85th St Apt 4f Brooklyn NY 11209-4717 Ph: (718) 207-0959 |
| NPI Number | 1740841790 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740841790 | NPI | - | NPPES |
| 897549932 | Other | NY | DRIVER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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