# D M W THERAPEUTIC SERVICES.

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

## Provider details

- **NPI number:** 1508226549
- **Authorized official:** DESIREE M WELCH MSED (ABA SPECIALIST)
- **Authorized official phone:** (718) 930-9335

## Contact information

- **Practice address:** 16 LONG BR APT A, GLEN COVE, NY 11542-3262
- **Practice address phone:** (718) 930-9335
- **Mailing address:** 16A LONG BR. RD, GLEN COVE, NY 11542
- **Mailing address phone:** (718) 930-9335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 1222386 | NY | Yes |

## Other

- **Enumeration date:** 03/03/2016
- **Last updated:** 03/03/2016