Alpha II Omega

NPI #1588361588 in Rosedale, New York

Provider Information

NPI Number: 1588361588
Entity Type: Organization
Organization Name: Alpha II Omega
Primary Specialty: Behavior Technician
Enumeration Date: Feb 9, 2023
Last Updated: Apr 11, 2023

Practice Location

Address: 259-28 147TH RD
City: Rosedale
State: New York
ZIP Code: 11422
Phone: (347) 400-1812

Authorized Official

Name: DOREEN E BRATHWAITE, MS
Title: MANAGER/DIRECTOR
Phone: (347) 400-1812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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