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418 Broadway # 8387 Albany NY 12207-2922 | |
| (315) 335-7114 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 418 Broadway # 8387, Albany, New York |
| Authorized Official Name and Position | Daniel Guglielmo (OWNER) |
| Authorized Official Contact | 6464815930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
418 Broadway # 8387 Albany NY 12207-2922 Ph: (315) 335-7114 | 418 Broadway # 8387 Albany NY 12207-2922 Ph: (315) 335-7114 |
| NPI Number | 1649006305 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649006305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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