Organization
GOLDEN MOON ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SPIEGEL (MANAGER)
(917) 881-0520
Entity
Organization
Contact information
Practice address
10770 COLUMBIA PIKE STE 300, SILVER SPRING, MD 20901-4439
(917) 881-0520
Mailing address
301 MILL RD STE U12, HEWLETT, NY 11557-1245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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