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Organization
BLUE SEA FAMILY CARE
Active
Organization
BLUE SEA FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NARRA LBA (BEHAVIOR ANALYST)
(631) 368-2583
Entity
Organization
Contact information
Practice address
25 FENIMORE LN, HUNTINGTON, NY 11743-5720
(631) 368-2583
Mailing address
25 FENIMORE LN, HUNTINGTON, NY 11743-5720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
02/12/2020
Last updated
02/13/2020
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