Organization
ADAPTIVE ADVENTURES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHINAKHON QODIROVA MSSPED (SEIT/ABA PROVIDER)
(646) 457-5375
Entity
Organization
Contact information
Practice address
2331 E 23RD ST APT 1F, BROOKLYN, NY 11229-4815
(646) 457-5375
Mailing address
2331 E 23RD ST APT 1F, BROOKLYN, NY 11229-4815
(646) 457-5375
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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