Organization
BRIGHTSIDE ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI KONOVITCH (OWNER)
(201) 510-0688
Entity
Organization
Contact information
Practice address
46 WASHINGTON AVE STE 1, SUFFERN, NY 10901-5608
(201) 510-0688
Mailing address
46 WASHINGTON AVE STE 1, SUFFERN, NY 10901-5608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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