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Organization
SIGNATURE MA LICENSED APPLIED BEHAVIOR ANALYSIS, P.C.
Active
Organization
SIGNATURE MA LICENSED APPLIED BEHAVIOR ANALYSIS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA MA LBA, BCBA (PRESIDENT)
(917) 310-5187
Entity
Organization
Contact information
Practice address
295 MADISON AVE FL 12, NEW YORK, NY 10017-6379
(917) 310-5187
Mailing address
295 MADISON AVE FL 12, NEW YORK, NY 10017-6379
(917) 310-5187
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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