Organization
ACHIEVE BEYOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA KHONONOV (ABA THERAPIST)
(646) 529-2801
Entity
Organization
Contact information
Practice address
60 OCEANA DR W, PH1D, BROOKLYN, NY 11235-6662
(646) 529-2801
Mailing address
60 OCEANA DR W, PH1D, BROOKLYN, NY 11235-6662
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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