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NPI Code Detail

MEDICARE: PROGRESS AND SUCCESS LLC

MEDICARE: PROGRESS AND SUCCESS 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

General Provider Information

NPI Number : 1144930934
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROGRESS AND SUCCESS LLC
Provider Business Mailing Address
First Line : PO BOX 190726
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-0726
Country : US
Telephone Number : 646-939-6966
Fax Number :
Provider Business Practice Location Address
First Line : 4502 13TH AVE STE 413
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-6625
Country : US
Telephone Number : 718-853-3330
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MORDECHAI LEIFER
Credential :
Telephone Number : 718-650-7894
Provider Enumeration Date : 12/01/2022
Last Update Date : 07/04/2024

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Directions to “PROGRESS AND SUCCESS LLC ” Practice Location

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