Provider Connects Inc | |
153 Broadway Hicksville NY 11801-4297 | |
(201) 241-0079 | |
Not Available |
Full Name | Provider Connects Inc |
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Speciality | Behavior Analyst |
Location | 153 Broadway, Hicksville, New York |
Authorized Official Name and Position | Jocelyn Thomas (OFFICE MANAGER) |
Authorized Official Contact | 2012410079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Provider Connects Inc 153 Broadway Hicksville NY 11801-4297 Ph: () - | Provider Connects Inc 153 Broadway Hicksville NY 11801-4297 Ph: (201) 241-0079 |
NPI Number | 1710655030 |
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Provider Enumeration Date | 09/01/2021 |
Last Update Date | 09/01/2021 |
Certification Date | 08/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710655030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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