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Organization
ABA SHAPING SERVICE LLC
Active
Organization
ABA SHAPING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARSHA D MCKENZIE BCBA/LBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(929) 551-8799
Entity
Organization
Contact information
Practice address
9918 AVENUE M, BROOKLYN, NY 11236-5041
(929) 551-8799
Mailing address
9918 AVENUE M, BROOKLYN, NY 11236-5041
(929) 551-8799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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