| Upstate Applied Behavior Analysis Services Pllc | |
|
35 Revere Rd Queensbury NY 12804-8044 | |
| (518) 605-3146 | |
| Not Available |
| Full Name | Upstate Applied Behavior Analysis Services Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 35 Revere Rd, Queensbury, New York |
| Authorized Official Name and Position | Kelly Brock (OWNER/OPERATOR) |
| Authorized Official Contact | 5186053146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Applied Behavior Analysis Services Pllc 35 Revere Rd Queensbury NY 12804-8044 Ph: (518) 605-3146 | Upstate Applied Behavior Analysis Services Pllc 35 Revere Rd Queensbury NY 12804-8044 Ph: (518) 605-3146 |
| NPI Number | 1740813708 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/19/2020 |
| Certification Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740813708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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