| 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 | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |