Individual
MINDY LEE COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, BCBA, LBA
Contact information
Practice address
120 E 73RD ST APT 1B, NEW YORK, NY 10021-4259
(518) 570-8101
Mailing address
717 WESTCHESTER AVE, RYE BROOK, NY 10573-1346
(518) 570-8101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001415
NY
Other
Enumeration date
08/20/2012
Last updated
08/17/2023
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