Free Mind Therapy Ny Lcsw PLLC
Behavior Analyst in Northport, NY. Organization (NPI-2).
NPI number1366139727
StatusActive
Last updated in NPPESApr 18, 2023
Details
- NPI
- 1366139727
- Entity type
- Organization (NPI-2)
- Legal business name
- Free Mind Therapy Ny Lcsw PLLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2023
- Certification date
- Apr 18, 2023
- Last updated
- Apr 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Other names
- Maccorkindale (Other Name)
Practice location
20 Northfield DrNorthport, NY 11768-2413
Phone 516-578-4430
Mailing address
20 Northfield DrNorthport, NY 11768-2413
Phone 516-578-4430
Authorized official
Sean D Maccorkindale
Member
5165784430
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