Organization
UP WE GROW SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA MATUZA BCBA, LBA (CHIEF EXECUTIVE OFFICER)
(631) 385-7780
Entity
Organization
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
03/22/2024
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