Individual
BROOKE MITTLEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1477 WILLIAM ST, NORTH MERRICK, NY 11566-1004
(516) 477-7733
Mailing address
1477 WILLIAM ST, MERRICK, NY 11566-1004
(516) 477-7733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101002
NY
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
08/20/2024
Last updated
09/30/2025
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