Organization
PROVIDER CONNECTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN THOMAS (OFFICE MANAGER)
(201) 241-0079
Entity
Organization
Contact information
Practice address
153 BROADWAY, HICKSVILLE, NY 11801-4297
(201) 241-0079
Mailing address
153 BROADWAY, HICKSVILLE, NY 11801-4297
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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