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Organization
FRESH START BEHAVIORAL SERVICES LLC
Active
Organization
FRESH START BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KLAUS ANDRES VARGAS MACHUCA MARTINEZ (OWNER)
(253) 228-6232
Entity
Organization
Contact information
Practice address
12 HOLLYBERRY DR, HOPEWELL JUNCTION, NY 12533-5382
(253) 228-6232
Mailing address
12 HOLLYBERRY DR, HOPEWELL JUNCTION, NY 12533-5382
(253) 228-6232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/30/2020
Last updated
10/31/2020
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