Organization
GOLDEN MOON ABA VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC JACOBOWITZ (CEO)
(917) 494-0666
Entity
Organization
Contact information
Practice address
701 E FRANKLIN ST, RICHMOND, VA 23219-2512
(917) 494-0666
Mailing address
301 MILL RD, HEWLETT, NY 11557-1291
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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