Victory Lap Aba Llc | |
418 Broadway # 8387 Albany NY 12207-2922 | |
(315) 335-7114 | |
Not Available |
Full Name | Victory Lap Aba Llc |
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Speciality | Behavior Analyst |
Location | 418 Broadway # 8387, Albany, New York |
Authorized Official Name and Position | Daniel Guglielmo (OWNER, CLINIC DIRECTOR) |
Authorized Official Contact | 3153357114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Victory Lap Aba Llc 418 Broadway # 8387 Albany NY 12207-2922 Ph: (315) 335-7114 | Victory Lap Aba Llc 418 Broadway # 8387 Albany NY 12207-2922 Ph: (315) 335-7114 |
NPI Number | 1649006305 |
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Provider Enumeration Date | 09/10/2024 |
Last Update Date | 09/10/2024 |
Certification Date | 09/10/2024 |
Identifier | Type | State | Issuer |
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1649006305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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