Organization
SOCIAL SKILLS FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE MAZLIAH MS ED BCBA (OWNER)
(631) 873-5477
Entity
Organization
Contact information
Practice address
88 TERRY RD, SMITHTOWN, NY 11787-3811
(631) 965-1797
Mailing address
88 TERRY RD, SMITHTOWN, NY 11787-3811
(631) 965-1797
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000000000038
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13591583
CHAQ
NY
Enumeration date
05/10/2016
Last updated
05/10/2016
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