Individual
DR. GINA MARIE FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
60 MADISON AVE, 8TH FL, NEW YORK, NY 10010-1600
(212) 684-0099
Mailing address
60 MADISON AVE, 8TH FL, NEW YORK, NY 10010-1600
(212) 684-0099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1000008
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12096390
CAQH
NY
Enumeration date
12/22/2011
Last updated
12/22/2011
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