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Organization
TRUE CHANGES BEHAVIOR THERAPY, LLC
Active
Organization
TRUE CHANGES BEHAVIOR THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYVONNE C CARDELL BCBA, LBA (OWNER)
(718) 986-3163
Entity
Organization
Contact information
Practice address
41 KOSCIUSZKO ST APT 312, BROOKLYN, NY 11205-4986
(718) 986-3163
(718) 228-9216
Mailing address
41 KOSCIUSZKO ST APT 312, BROOKLYN, NY 11205-4986
(718) 986-3163
(718) 228-9216
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001310
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001310
NEW YORK STATE
NY
01
—
1-15-19493
BACB
—
Enumeration date
03/07/2018
Last updated
03/07/2018
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