Organization
PREMIERPATH ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LISANTI BCBA (OWNER & DIRECTOR)
(845) 467-9452
Entity
Organization
Contact information
Practice address
13 GREYWOOD DR, ORANGEBURG, NY 10962-2419
(452) 133-8158
Mailing address
13 GREYWOOD DR, ORANGEBURG, NY 10962-2419
(845) 467-9452
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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