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Individual

MR. BRIAN DALE STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.,B.S.

Contact information

Practice address
33 BRADHURST AVE APT 4, NEW YORK, NY 10030-1389
(212) 491-3541
Mailing address
33 BRADHURST AVE 4TH FLOOR, NEW YORK, NY 10030
(212) 491-3541

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
388535031
NY
103K00000X
Behavior Analyst
388535031
NY

Other

Enumeration date
10/15/2011
Last updated
10/15/2011
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