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Organization

ABA BRIGHTSIDE IN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAYER KULEFSKY (VP OF OPERATIONS)
(347) 461-0983
Entity
Organization

Contact information

Practice address
8720 KNICKERBOCKER WAY, INDIANAPOLIS, IN 46240-2102
(347) 461-0983
Mailing address
46 WASHINGTON AVE STE 1, SUFFERN, NY 10901-5608
(347) 461-0983

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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