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Organization

BIG APPLE AUTISM SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARJORIE GABRIEL MS.ED/BCBA (PRESIDENT)
(516) 543-7710
Entity
Organization

Contact information

Practice address
1626 PUTNEY RD, VALLEY STREAM, NY 11580-1818
(516) 543-7710
(718) 441-9373
Mailing address
1626 PUTNEY RD, VALLEY STREAM, NY 11580-1818
(516) 543-7710
(718) 441-9373

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
000208
NY
252Y00000X
Early Intervention Provider Agency
Primary
000208
NY
252Y00000X
Early Intervention Provider Agency
0117471
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02154483
NY
01
1538312608
NPI INDIVIDUAL SHARENE LEWIS
NY
Enumeration date
05/23/2015
Last updated
04/24/2017
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