Individual
MICHELLE ELLA BOTVINNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6002 FARRAGUT RD, BROOKLYN, NY 11236-3125
(718) 209-1122
Mailing address
2814 W 8TH ST APT 15B, BROOKLYN, NY 11224-3368
(646) 872-6555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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