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33D2100422 CLIA NUMBER - VICTORIA VAMOS,NURSE PRACTITIONER IN FAMILY HEALTH DBA LONG ISLAND MEDICAL & SPA

Laboratory Demographics

CLIA Number: 33D2100422

Facility Name: VICTORIA VAMOS,NURSE PRACTITIONER IN FAMILY HEALTH DBA LONG ISLAND MEDICAL & SPA

Facility Address:
751 COATES AVENUE, SUITE 31
HOLBROOK, NY
ZIP 11741
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Facility Phone Number: 651 580-0000

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1063864023

Taxonomy: 103K00000X - Behavior Analyst
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

CLIA Record

Field Name Field Value
CLIA Number 33D2100422
LAB Type Physician Office
Facility Name VICTORIA VAMOS,NURSE PRACTITIONER IN FAMILY HEALTH DBA LONG ISLAND MEDICAL & SPA
Street 751 COATES AVENUE, SUITE 31
City HOLBROOK
State NY
ZIP 11741
Phone 651 580-0000
CertificateType 4
CertificateEffectiveDate 8/14/2023
CertificateExpirationDate 8/13/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024