Organization
CREATIVE BEHAVIOR SERVICES LICENSED BEHAVIOR ANALYST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIUS FINCHER (PROGRAM DIRECTOR)
(718) 938-1256
Entity
Organization
Contact information
Practice address
108-14 72ND AVENUE, 2ND FL, FOREST HILLS, NY 11375
(718) 938-1256
Mailing address
108-14 72ND AVENUE, 2ND FL, FOREST HILLS, NY 11375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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