Organization
ASE BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GANNON BCBA, NYS LBA (FOUNDER)
(973) 223-8262
Entity
Organization
Contact information
Practice address
100 MASPETH AVE APT 2H, BROOKLYN, NY 11211-2566
(973) 223-8262
Mailing address
100 MASPETH AVE APT 2H, BROOKLYN, NY 11211-2566
(973) 223-8262
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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