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pproved Entities pproved Entities

pproved Entities - PDF document

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Uploaded On 2021-06-19

pproved Entities - PPT Presentation

A Waiver Number Primary Entity Name Judi Dobner Therapist Agency LLC Primary Address 386 Route 59 Primary Phone 845 3687927 Suite 102 Monsey Current Waiver Issued Beginning Period 712016 Curre ID: 845196

number waiver analyst primary waiver number primary analyst therapy certificate current behavior physician asst 2016 period

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1 -- A pproved Entities Waiver Number Prim
-- A pproved Entities Waiver Number Primary Entity Name Judi Dobner Therapist Agency LLC Primary Address 386 Route 59 Primary Phone (845) 368-7927 Suite 102 Monsey Current Waiver Issued Beginning Period 7/1/2016 Current Waiver Ending Period County Rockland 6/30/2019 LMSW Physical Therapy Nursing (RN or Nurse Practitioner) LCSW Psychology Occupational Therapy Medicine (Physician, Physician Asst., Specialist Asst.) Licensed_Applied_Behavior_Analyst Certified_Behavior_Analyst_Assistant Audiology/Speech Lang. Mental Health Counseling Optometry Other: Additional Sites if any - with Certificate Number Certificate Number Friday, April 08, 2016