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Organization

GROWING LICENSED BEHAVIOR ANALYST, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLY PRONSKY MA, LBA, BCBA (FOUNDER)
(631) 599-9800
Entity
Organization

Contact information

Practice address
3 HAMPTON DR, CENTER MORICHES, NY 11934-2704
(631) 599-9800
Mailing address
3 HAMPTON DR, CENTER MORICHES, NY 11934-2704

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
09/05/2023
Last updated
01/08/2025
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