Premierpath Aba Llc | |
13 Greywood Dr Orangeburg NY 10962-2419 | |
(452) 133-8158 | |
Not Available |
Full Name | Premierpath Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | 13 Greywood Dr, Orangeburg, New York |
Authorized Official Name and Position | Jessica Lisanti (OWNER & DIRECTOR) |
Authorized Official Contact | 8454679452 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premierpath Aba Llc 13 Greywood Dr Orangeburg NY 10962-2419 Ph: (845) 467-9452 | Premierpath Aba Llc 13 Greywood Dr Orangeburg NY 10962-2419 Ph: (452) 133-8158 |
NPI Number | 1336923317 |
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Provider Enumeration Date | 08/22/2023 |
Last Update Date | 08/22/2023 |
Certification Date | 08/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336923317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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