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Organization

ASCEND BEHAVIOR CENTER CORP.

Active
Other names
ABC NYC
Organization subpart
No

Provider details

NPI number
Authorized official
CHERRY ANN MONTEHERMOSO CHISHTI M.ED (PROGRAM DIRECTOR)
(134) 755-2549
Entity
Organization

Contact information

Practice address
10659 95TH ST, OZONE PARK, NY 11417-1541
(347) 552-4549
Mailing address
10659 95TH ST, OZONE PARK, NY 11417-1541
(347) 552-4549

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
03/10/2019
Last updated
01/17/2020
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