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Organization
M & R KIDS LLC
Active
Organization
M & R KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANATOLIY BENYAMINOV (CEO)
(917) 749-2068
Entity
Organization
Contact information
Practice address
118-21 QUEENS BLVD. SUITE #612, FOREST HILLS, NY 11375
(929) 372-7188
(929) 372-7129
Mailing address
118-21 QUEENS BLVD. SUITE #612, FOREST HILLS, NY 11375
(929) 372-7188
(929) 372-7129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
03/09/2016
Last updated
10/03/2023
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