Make an Appointment: goldberg@positivebehaviorpractice.com | 631-486-4346

goldberg@positivebehaviorpractice.com | 631-486-4346
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2171 Jericho Turnpike, Suite 342
Commack, NY 11725

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2171 Jericho Turnpike, Suite 342
Commack, NY 11725

631-486-4346
goldberg@positivebehaviorpractice.com

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.