Creative Licensed Behavior Analyst P.c. | |
6262 Woodhaven Blvd Apt S34 Rego Park NY 11374-3726 | |
(646) 384-2385 | |
Not Available |
Full Name | Creative Licensed Behavior Analyst P.c. |
---|---|
Speciality | Behavior Analyst |
Location | 6262 Woodhaven Blvd Apt S34, Rego Park, New York |
Authorized Official Name and Position | Sibila Abramov (OWNER) |
Authorized Official Contact | 6463842385 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Creative Licensed Behavior Analyst P.c. 6262 Woodhaven Blvd Apt S34 Rego Park NY 11374-3726 Ph: () - | Creative Licensed Behavior Analyst P.c. 6262 Woodhaven Blvd Apt S34 Rego Park NY 11374-3726 Ph: (646) 384-2385 |
NPI Number | 1285185595 |
---|---|
Provider Enumeration Date | 10/21/2016 |
Last Update Date | 10/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285185595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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