Individual
LORRAINE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 RIVERDALE AVE # 1A, BRONX, NY 10471-1032
(718) 701-4807
Mailing address
6214 RIVERDALE AVE # 1A, BRONX, NY 10471-1032
(718) 701-4807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
876573
NY
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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