Organization
SHALOM ABA SUPPORT LICENSED BEHAVIOR ANALYST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE A WALDMAN (PRESIDENT)
(917) 676-7251
Entity
Organization
Contact information
Practice address
681 CHESTNUT RIDGE AVE, MONSEY, NY 10952-1095
(845) 400-9870
Mailing address
6 ROSE GARDEN WAY, MONSEY, NY 10952-7623
(917) 676-7251
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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