| The Behavior Place | |
|
2250 Goshen Tpke Middletown NY 10941-4031 | |
| (845) 673-5636 | |
| Not Available |
| Full Name | The Behavior Place |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2250 Goshen Tpke, Middletown, New York |
| Authorized Official Name and Position | Tara Montemurro (PRESIDENT) |
| Authorized Official Contact | 8456735636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Behavior Place Po Box 586 Goshen NY 10924-0586 Ph: (845) 360-5744 | The Behavior Place 2250 Goshen Tpke Middletown NY 10941-4031 Ph: (845) 673-5636 |
| NPI Number | 1548616345 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548616345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 363 (New York) | Primary |
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