20 WEST 36TH ST, 12TH FLOOR, NEW YORK, 10018, NEW YORK
					
				| Entity Name | LONG ISLAND LICENSED BEHAVIOR ANALYST PLLC | 
| Entity Number | 5587212 | 
| Status | ACTIVE | 
| Incorporation Date | 15th July 2019 | 
| Dos Process Address | 537 EAST BROADWAY, APT. #4, LONG BEACH, 11561, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NASSAU | 
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |