Organization
LITTLE GREEN TUGBOAT LICENSED BEHAVIOR ANALYSIS SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KOH MA, BCBA, LBA (FOUNDER, DIRECTOR)
(310) 428-6102
Entity
Organization
Contact information
Practice address
2413 19TH ST # 1, ASTORIA, NY 11102-3442
(310) 428-6102
Mailing address
3811 DITMARS BLVD STE 2282, ASTORIA, NY 11105-2176
(310) 428-6102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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