Organization
IMAGINETHAT ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALY GITTENS (CO-OWNER, WELLNESS COUNSELOR)
(212) 810-0463
Entity
Organization
Contact information
Practice address
6 GRAMATAN AVE STE 610, MOUNT VERNON, NY 10550-3208
(212) 810-0463
Mailing address
6 GRAMATAN AVE STE 610, MOUNT VERNON, NY 10550-3208
(212) 810-0463
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/12/2023
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