Individual
EBENY SANTANA FERMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2488 GRAND CONCOURSE FL 2, BRONX, NY 10458-5203
(718) 881-7600
Mailing address
2488 GRAND CONCOURSE FL 2, BRONX, NY 10458-5203
(718) 881-7600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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