True Changes Behavior Therapy, Llc | |
41 Kosciuszko St Apt 312 Brooklyn NY 11205-4986 | |
(718) 986-3163 | |
(718) 228-9216 |
Full Name | True Changes Behavior Therapy, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 41 Kosciuszko St Apt 312, Brooklyn, New York |
Authorized Official Name and Position | Maryvonne C Cardell (OWNER) |
Authorized Official Contact | 7189863163 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
True Changes Behavior Therapy, Llc 41 Kosciuszko St Apt 312 Brooklyn NY 11205-4986 Ph: (718) 986-3163 | True Changes Behavior Therapy, Llc 41 Kosciuszko St Apt 312 Brooklyn NY 11205-4986 Ph: (718) 986-3163 |
NPI Number | 1629570544 |
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Provider Enumeration Date | 03/07/2018 |
Last Update Date | 03/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629570544 | NPI | - | NPPES |
001310 | Other | NY | NEW YORK STATE |
1-15-19493 | Other | BACB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 001310 (New York) | Primary |
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