Organization
M&J SELENE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JATAON SELENE WHITLEY MS (SPECIAL EDUCATION / ABA THERAPIST)
(347) 278-3747
Entity
Organization
Contact information
Practice address
3835 SEDGWICK AVE APT 4A, BRONX, NY 10463-4454
(347) 278-3747
Mailing address
3835 SEDGWICK AVE APT 4A, BRONX, NY 10463-4454
(347) 278-3747
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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