Organization
KIDS LEARNING LOFT ABA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KOURASSANIS-VELASQUEZ (CO-DIRECTOR)
(516) 741-0729
Entity
Organization
Contact information
Practice address
436 WILLIS AVE STE 3, WILLISTON PARK, NY 11596-2298
(516) 741-0729
(516) 209-4556
Mailing address
305 HILLSIDE AVE, WILLISTON PARK, NY 11596-2102
(516) 741-0729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
07/27/2012
Last updated
04/10/2017
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