Individual
MARY THERESA PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 MELROSE AVE, BRONX, NY 10451-4443
(917) 473-0896
(718) 504-4551
Mailing address
1220 E 86TH ST, BROOKLYN, NY 11236-4928
(718) 312-2050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
900B
NY
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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