Individual
VANESSA ROSE MARZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E 35TH ST, NEW YORK, NY 10016-4282
(646) 965-5913
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
100409884
NY
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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