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Organization

PUZZLES AND PIECES BEHAVIORAL INTERVENTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA HAGGERTY LBA., BCBA (FOUNDER, CEO)
(516) 637-0235
Entity
Organization

Contact information

Practice address
405 W 1ST ST, WEST ISLIP, NY 11795-2412
(516) 637-0235
Mailing address
405 WEST 1ST ST, WEST ISLIP, NY 11795
(516) 637-0235

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
001423-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001423-1
LBA
NY
05
001423-1
NY
Enumeration date
08/19/2017
Last updated
07/21/2022
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