MEDICARE: PLANTING SEEDS LICENSED BEHAVIOR ANALYSIS PLLC

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1063270726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANTING SEEDS LICENSED BEHAVIOR ANALYSIS PLLC

Provider Business Mailing Address
First Line	:	533 DAHILL RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3964
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	533 DAHILL RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3964
Country	:	US
Telephone Number	:	347-404-8638
Fax Number	:

Authorized Official
Title or Position	:	BCBA
Name	:	ROCHEL KAHAN
Credential	:
Telephone Number	:	347-404-8638

Provider Enumeration Date	:	03/07/2024
Last Update Date	:	03/07/2024

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