Organization
PROGRESSIVE BEHAVIORAL PSYCHOLOGY SERVICES NEW YORK PC
Active
Other names
Autism Partnership New York
Organization subpart
No
Provider details
NPI number
Authorized official
IVY DIMAS (BILLING SPECIALIST)
(224) 422-9760
Entity
Organization
Contact information
Practice address
344 E 59TH ST FL 2, NEW YORK, NY 10022-1593
(562) 431-9293
(562) 685-0413
Mailing address
200 MARINA DR, SEAL BEACH, CA 90740-6023
(562) 431-9293
(562) 685-0413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
09/02/2021
Last updated
11/27/2023
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