# M & R KIDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326409939
- **Authorized official:** MR. ANATOLIY BENYAMINOV (CEO)
- **Authorized official phone:** (917) 749-2068

## Contact information

- **Practice address:** 118-21 QUEENS BLVD. SUITE \#612, FOREST HILLS, NY 11375
- **Practice address phone:** (929) 372-7188
- **Practice address fax:** (929) 372-7129
- **Mailing address:** 118-21 QUEENS BLVD. SUITE \#612, FOREST HILLS, NY 11375
- **Mailing address phone:** (929) 372-7188
- **Mailing address fax:** (929) 372-7129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2016
- **Last updated:** 10/03/2023