Trail Blazing Aba

NPI #1053026922 in Brooklyn, New York

Provider Information

NPI Number: 1053026922
Entity Type: Organization
Organization Name: Trail Blazing Aba
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 16, 2023
Last Updated: Jan 16, 2023

Practice Location

Address: 1225 E 24TH ST
City: Brooklyn
State: New York
ZIP Code: 11210-4532
Phone: (929) 466-1305

Authorized Official

Name: SIM BEN
Title: MANAGER
Phone: (347) 668-9113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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