NPI | 1407330616 |
---|---|
Former Legal Business Name | COMPREHENSIVE LMSW, LICENSED BEHAVIOR ANALYST SERVICES PLLC |
Entity Type | Organization |
Authorized Contact | JULIE A DIERS Executive Director 631-878-5007 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-09-24 |
Last Update Date | 2022-04-05 |