Organization
LIVANIS PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LIVANIS PHD, BCBA-D (P)
(718) 564-0237
Entity
Organization
Contact information
Practice address
2571 47TH ST, ASTORIA, NY 11103-1108
(718) 564-0237
(407) 880-4344
Mailing address
2571 47TH ST, ASTORIA, NY 11103-1108
(718) 564-0237
(407) 880-4344
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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