Organization
THERACARE MANAGED SERVICES, LLC
Active
Parent organization
THERACARE OF NEW YORK, INC.
Other names
ABA Provider Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
THERACARE OF NEW YORK, INC.
Authorized official
MS. MARY CAROLINE MCCARTHY (DIRECTOR OF CONTRACT DEVELOPMENT)
(212) 564-2350
Entity
Organization
Contact information
Practice address
67 WALNUT AVE, SUITE 105, CLARK, NJ 07066-1640
(855) 681-8555
(914) 560-2102
Mailing address
1133 WESTCHESTER AVE., N230, WHITE PLAINS, NY 10604-3516
(212) 564-2350
(212) 564-2578
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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