MEDICARE: HANDS ON CARE ABA

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
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1922715259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS ON CARE ABA

Provider Business Mailing Address
First Line	:	1842 54TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1545
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1842 54TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1545
Country	:	US
Telephone Number	:	347-323-3367
Fax Number	:

Authorized Official
Title or Position	:	BILLER
Name	:	JOCELYN THOMAS
Credential	:
Telephone Number	:	201-241-0079

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/07/2022

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Directions to “HANDS ON CARE ABA ” Practice Location

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