Organization
A AND J BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIVA RUSHFORTH (ABA THERIPST)
(631) 560-7355
Entity
Organization
Contact information
Practice address
8 HALFCIRCLE DR, HOLBROOK, NY 11741-1330
(631) 560-7355
Mailing address
8 HALFCIRCLE DR, HOLBROOK, NY 11741-1330
(631) 560-7355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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