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Contact Information

FRESH START BEHAVIORAL SERVICES LLC
12 HOLLYBERRY DR
HOPEWELL JUNCTION, NY12533-5382
 Phone: 253-228-6232
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistant Behavior Analyst

106E00000X
 

Behavior Technician

106S00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FRESH START BEHAVIORAL SERVICES LLC

NPI Number 1952901621
LBN Legal business name FRESH START BEHAVIORAL SERVICES LLC
Authorized official KLAUS VARGAS MACHUCA MARTINEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/30/2020
Last updated 10/31/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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