Na | |
195 Plymouth St Ste 624 Brooklyn NY 11201-1123 | |
(917) 757-3193 | |
(347) 348-0997 |
Full Name | Na |
---|---|
Speciality | Behavior Analyst |
Location | 195 Plymouth St Ste 624, Brooklyn, New York |
Authorized Official Name and Position | Anne E Zaccardi (LICENSED BEHAVIOR ANALYST) |
Authorized Official Contact | 9294999479 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Na 195 Plymouth St Ste 624 Brooklyn NY 11201-1123 Ph: () - | Na 195 Plymouth St Ste 624 Brooklyn NY 11201-1123 Ph: (917) 757-3193 |
NPI Number | 1609349984 |
---|---|
Provider Enumeration Date | 01/09/2019 |
Last Update Date | 10/25/2022 |
Certification Date | 10/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609349984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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