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Organization

SUPPORTIVE LICENSED BEHAVIOR ANALYST PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOSEF TOLEDANO (CEO)
(917) 831-9691
Entity
Organization

Contact information

Practice address
667 RODRIGUES LN, JACKSON, NJ 08527-4818
(917) 831-9691
Mailing address
1810 N 52ND AVE, HOLLYWOOD, FL 33021-3912
(917) 831-9691

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/17/2025
Last updated
06/17/2025
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