| Simply Innovative Behavior Analysis Pllc | |
|
10 New Mill Rd Smithtown NY 11787-3324 | |
| (631) 352-2651 | |
| Not Available |
| Full Name | Simply Innovative Behavior Analysis Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10 New Mill Rd, Smithtown, New York |
| Authorized Official Name and Position | Jennifer Massaro (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6317414790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Innovative Behavior Analysis Pllc Po Box 236 Smithtown NY 11787-0236 Ph: (631) 352-2651 | Simply Innovative Behavior Analysis Pllc 10 New Mill Rd Smithtown NY 11787-3324 Ph: (631) 352-2651 |
| NPI Number | 1558116244 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558116244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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