Proud Moments Aba Services Llc | |
1449 37th St Ste 100 Brooklyn NY 11218-4381 | |
(718) 215-5311 | |
Not Available |
Full Name | Proud Moments Aba Services Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1449 37th St Ste 100, Brooklyn, New York |
Authorized Official Name and Position | Mark Yost (GENERAL COUNSEL) |
Authorized Official Contact | 7182155311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Proud Moments Aba Services Llc 1449 37th St Ste 100 Brooklyn NY 11218-4381 Ph: (718) 215-5311 | Proud Moments Aba Services Llc 1449 37th St Ste 100 Brooklyn NY 11218-4381 Ph: (718) 215-5311 |
NPI Number | 1962149260 |
---|---|
Provider Enumeration Date | 05/18/2022 |
Last Update Date | 05/18/2022 |
Certification Date | 05/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962149260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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