Organization
CMR-HEAVENLY ANGELS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA RIVERA (SPECIAL EDUCATION TEACHER)
(917) 575-0598
Entity
Organization
Contact information
Practice address
2021 LITTLE BRITAIN RD, ROCK TAVERN, NY 12575-5343
(917) 575-0598
Mailing address
2021 LITTLE BRITAIN RD, ROCK TAVERN, NY 12575-5343
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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