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Organization

LICENSED APPLIED BEHAVIOR ANALYST GROUP, PLLC

Active
Other names
Autism Behavior Consulting
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CASEY NICOLE FALEN LBA (CO-FOUNDER)
(631) 317-8088
Entity
Organization

Contact information

Practice address
248 RIVIERA DR W, MASSAPEQUA, NY 11758
(631) 954-2657
(866) 667-2657
Mailing address
248 RIVIERA DR W, MASSAPEQUA, NY 11758-8523
(631) 954-2657
(866) 667-2657

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000068
NY

Other

Enumeration date
12/02/2014
Last updated
03/29/2024
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