Organization
SG LISENCED BEHAVIOR ANALYST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA GLUZMAN (CEO/PRESIDENT)
(917) 254-9292
Entity
Organization
Contact information
Practice address
31 QUADS WAY, WINDHAM, NY 12496-5323
(917) 254-9292
Mailing address
1830 E 31ST ST, BROOKLYN, NY 11234-4440
(917) 254-9292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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