| NPI | 1770202236 | 
|---|---|
| Former Legal Business Name | LICENSED BEHAVIOR ANALYST L BOGDAN PC | 
| Entity Type | Organization | 
| Authorized Contact | LILIYA BOGDAN President 347-414-6195  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services | 
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-08-26 | 
| Last Update Date | 2022-08-26 |