Organization
NEW YORK LBA BEHAVIORAL CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE MACDONALD LICENSED BEHAVIOR AN (OWNER)
(631) 312-0523
Entity
Organization
Contact information
Practice address
15 NEWMAN ST, PATCHOGUE, NY 11772-1118
(631) 312-0523
Mailing address
15 NEWMAN ST, PATCHOGUE, NY 11772-1118
(631) 312-0523
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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