Individual
CHARLES MASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
260 N LITTLE TOR RD, NEW CITY, NY 10956-2627
(845) 708-2000
Mailing address
64 RICHARD CT, POMONA, NY 10970-2308
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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