Individual
MRS. LINDA MORDKOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
105 SCHUNNEMUNK RD, MONROE, NY 10950-6256
(845) 477-5000
Mailing address
250 ARDMORE AVE, STATEN ISLAND, NY 10314-4348
(917) 853-3366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001734-01
NY
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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