Organization
MY LANE APPLIED BEHAVIOR ANALYSIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIA MUSA BCBA, LBA (OWNER)
(917) 530-3208
Entity
Organization
Contact information
Practice address
67 ADAMS RD # D1F, CENTRAL ISLIP, NY 11722-2240
(917) 530-3208
Mailing address
67 ADAMS RD # D1F, CENTRAL ISLIP, NY 11722-2240
(917) 530-3208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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