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NPI Code Detail

MEDICARE: CAPTURE TO THE MOMENT INC.

MEDICARE: CAPTURE TO THE MOMENT INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1437674710
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPTURE TO THE MOMENT INC.
Provider Business Mailing Address
First Line : PO BOX 120921
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-0921
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1690 PRESIDENT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-5056
Country : US
Telephone Number : 347-429-5310
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ARDEN ALS
Credential :
Telephone Number : 347-429-5310
Provider Enumeration Date : 08/08/2017
Last Update Date : 08/08/2017

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Directions to “CAPTURE TO THE MOMENT INC. ” Practice Location

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