Organization
LICENSED BEHAVIOR ANALYST L BOGDAN PC
Active
Other names
Licensed Behavior Analyst L Bogdan PC
Organization subpart
No
Provider details
NPI number
Authorized official
LILIYA BOGDAN BCBA LBA MS.ED (PRESIDENT)
(347) 414-6195
Entity
Organization
Contact information
Practice address
41 STONEGATE DR, STATEN ISLAND, NY 10304-4432
(347) 414-6195
Mailing address
41 STONEGATE DR, STATEN ISLAND, NY 10304-4432
(347) 414-6195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144581299
—
NY
Enumeration date
08/26/2022
Last updated
08/26/2022
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