Organization
KIDS THRIVE APPLIED BEHAVIOR ANALYSIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEDVA GROSSMAN (OWNER)
(845) 499-8615
Entity
Organization
Contact information
Practice address
7424 13TH AVE, BROOKLYN, NY 11228-2021
(212) 512-5200
Mailing address
7424 13TH AVE, BROOKLYN, NY 11228-2021
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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