Individual
ANNA BUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
5022 245TH ST, DOUGLASTON, NY 11362-1627
(917) 324-5936
Mailing address
5022 245TH ST, DOUGLASTON, NY 11362-1627
(917) 324-5936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001675-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001675-1
NEW YORK STATE EDUCATION DEPARTMENT
NY
01
—
1-18-33822
BEHAVIOR ANALYSIS CERTIFICATION BOARD
—
Enumeration date
03/14/2019
Last updated
03/14/2019
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