Individual
MARYSE CRECECOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
43 SNYDER AVE, BROOKLYN, NY 11226-4020
(718) 856-6560
(718) 856-7493
Mailing address
1253 E 40TH ST, BROOKLYN, NY 11210-4958
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
900B
NY
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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