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Organization
PROGRESSIVE BEHAVIORAL PSYCHOLOGY SERVICES NEW YORK PC
Active
Organization
PROGRESSIVE BEHAVIORAL PSYCHOLOGY SERVICES NEW YORK PC
Active
Other names
Autism Partnership New York
Organization subpart
No
Provider details
NPI number
Authorized official
IVY DIMAS (BILLING SPECIALIST)
(224) 422-9760
Entity
Organization
Contact information
Practice address
344 E 59TH ST FL 2, NEW YORK, NY 10022-1593
(562) 431-9293
(562) 685-0413
Mailing address
200 MARINA DR, SEAL BEACH, CA 90740-6023
(562) 431-9293
(562) 685-0413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
Other
Enumeration date
09/02/2021
Last updated
11/27/2023
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