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Organization
TAP INTO POTENTIAL, CORP.
Active
Organization
TAP INTO POTENTIAL, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY PETERSON BCBA (PRESIDENT, BEHAVIOR ANALYST)
(631) 786-3106
Entity
Organization
Contact information
Practice address
35 FICUS RD, ROCKY POINT, NY 11778-9380
(631) 786-3106
Mailing address
35 FICUS RD, ROCKY POINT, NY 11778-9380
(631) 786-3106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2612
NY
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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