Individual
MARTIN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED, BCBA LP
Contact information
Practice address
4404 14TH AVE, BROOKLYN, NY 11219-2104
(347) 988-5772
Mailing address
1426 46TH ST, BROOKLYN, NY 11219-2632
(347) 988-5772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB351913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114186579
—
NY
Enumeration date
06/27/2018
Last updated
06/27/2018
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