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CAN LICENSED BEHAVIOR ANALYSIS, P.C.

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Company Details

Name: CAN LICENSED BEHAVIOR ANALYSIS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Feb 2024 (a year ago)
Entity Number: 7248424
ZIP code: 11725
County: Suffolk
Place of Formation: New York
Address: 354 veterands memorial highway, suite 3, COMMACK, NY, United States, 11725

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the professional corporation DOS Process Agent 354 veterands memorial highway, suite 3, COMMACK, NY, United States, 11725

National Provider Identifier

NPI Number:
1639923105
Certification Date:
2024-04-12

Authorized Person:

Name:
KIMBERLY CANINO
Role:
OWNER/CLINICIAN
Phone:

Taxonomy:

Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240207000700 2024-02-06 CERTIFICATE OF INCORPORATION 2024-02-06

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State