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NPI Code Detail

MEDICARE: COGNIFY THERAPY LLC

MEDICARE: COGNIFY THERAPY LLC
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
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1477445971
Entity Type Code : Organization
Provider Name (Legal Business Name) : COGNIFY THERAPY LLC
Provider Business Mailing Address
First Line : 3623 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5445
Country : US
Telephone Number : 646-833-8411
Fax Number :
Provider Business Practice Location Address
First Line : 3321 AVENUE M
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5421
Country : US
Telephone Number : 646-833-8411
Fax Number :
Authorized Official
Title or Position : CEO
Name : JACK BRAVMANN
Credential :
Telephone Number : 646-833-8411
Provider Enumeration Date : 07/18/2025
Last Update Date : 01/23/2026

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