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Organization
ACHIEVE BEYOND LICENSED BEHAVIOR ANALYST SERVICES PC
Active
Organization
ACHIEVE BEYOND LICENSED BEHAVIOR ANALYST SERVICES PC
Active
Other names
Achieve Beyond
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BUTERA (DIRECTOR OF OPERATIONS)
(631) 385-7780
Entity
Organization
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4822
(631) 385-7780
(631) 385-7795
Mailing address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4822
(631) 385-7780
(631) 385-7795
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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