Individual
DR. DOROTHY NOVOGRODSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. D. BCBA-D
Contact information
Practice address
223 DAIRYLAND RD., WOODRIDGE, NY 12789-0153
(845) 798-6502
(845) 434-1077
Mailing address
PO BOX 153, WOODRIDGE, NY 12789-0153
(845) 798-6502
(845) 434-1077
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4711
FL
174400000X
Specialist
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-08-4711
BCBA-D
—
Enumeration date
12/30/2010
Last updated
06/18/2012
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