Organization
CREATIVE LICENSED BEHAVIOR ANALYST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIBILA ABRAMOV MA,BCBA, LBA (OWNER)
(646) 384-2385
Entity
Organization
Contact information
Practice address
6262 WOODHAVEN BLVD APT S34, REGO PARK, NY 11374-3726
(646) 384-2385
Mailing address
6262 WOODHAVEN BLVD APT S34, REGO PARK, NY 11374-3726
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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