Individual
MR. DAVID MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELORS
Contact information
Practice address
1918 AVENUE H, BROOKLYN, NY 11230-7480
(347) 713-2653
Mailing address
1918 AVENUE H, BROOKLYN, NY 11230-7480
(347) 713-2653
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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