Organization
WYOMING BEHAVIOR LLC
Active
Organization
WYOMING BEHAVIOR LLC
Active
Other names
Heartland ABA
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL BENEDE (CEO)
(718) 633-4411
Entity
Organization
Contact information
Practice address
212 E 22ND ST STE MP, CHEYENNE, WY 82001-3729
(718) 633-4411
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(718) 336-6073
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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