Organization
ATS ADVANCED BEHAVIOR THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY S AUDATE DSW, LCSW-R (FOUNDER/ CEO)
(646) 423-1286
Entity
Organization
Contact information
Practice address
23427 133RD AVE STE 1, ROSEDALE, NY 11422-1303
(646) 423-1286
(718) 525-3131
Mailing address
228 PARK AVE S # 824230, NEW YORK, NY 10003-1502
(646) 423-1286
(718) 525-3131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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