| Theracare Managed Services, Llc | |
|
11-20 46th Road Long Island City NY 11101 | |
| (855) 681-8555 | |
| (914) 560-2102 |
| Full Name | Theracare Managed Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11-20 46th Road, Long Island City, New York |
| Authorized Official Name and Position | John Calderon (PRESIDENT/CEO) |
| Authorized Official Contact | 2125642350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theracare Managed Services, Llc 116 West 32nd St. 8th Flr. New York NY 10001 Ph: (212) 564-2350 | Theracare Managed Services, Llc 11-20 46th Road Long Island City NY 11101 Ph: (855) 681-8555 |
| NPI Number | 1558834036 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 01/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558834036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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