Organization
ALPHA II OMEGA
Active
Other names
Alpha II Omega
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN E BRATHWAITE MS (MANAGER/DIRECTOR)
(347) 400-1812
Entity
Organization
Contact information
Practice address
259-28 147TH RD, ROSEDALE, NY 11422
(347) 400-1812
Mailing address
259-28 147TH RD, ROSEDALE, NY 11422
(347) 400-1812
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
04/11/2023
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