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Organization
PROSPECT KIDS, LLC
Active
Organization
PROSPECT KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEKSANDR TOLMACH (CEO)
(347) 921-3250
Entity
Organization
Contact information
Practice address
2102 AVENUE Z, SUITE 304, BROOKLYN, NY 11235-2812
(718) 351-6248
Mailing address
2102 AVENUE Z, SUITE 304, BROOKLYN, NY 11235-2812
(347) 921-3250
(347) 779-0433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
03/10/2016
Last updated
05/23/2023
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