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Organization

THE ELIJA SCHOOL

Active
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Organization

THE ELIJA SCHOOL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORA THIVIERGE BCABA (EXECUTIVE DIRECTOR)
(516) 216-5270
Entity
Organization

Contact information

Practice address
100 PERIWINKLE RD, LEVITTOWN, NY 11756-2342
(516) 216-5270
Mailing address
100 PERIWINKLE RD, LEVITTOWN, NY 11756-2342
(516) 216-5270

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
103T00000X
Psychologist
—
—

Other

Enumeration date
06/13/2012
Last updated
06/13/2012
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