# ALPHA II OMEGA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alpha II Omega
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588361588
- **Authorized official:** DOREEN E BRATHWAITE MS (MANAGER/DIRECTOR)
- **Authorized official phone:** (347) 400-1812

## Contact information

- **Practice address:** 259-28 147TH RD, ROSEDALE, NY 11422
- **Practice address phone:** (347) 400-1812
- **Mailing address:** 259-28 147TH RD, ROSEDALE, NY 11422
- **Mailing address phone:** (347) 400-1812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106S00000X | Behavior Technician | — | NULL | Yes |
| 106S00000X | Behavior Technician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2023
- **Last updated:** 04/11/2023