Individual
MS. SADE BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 OCEAN AVE # 206, BROOKLYN, NY 11229-4585
(718) 540-2142
(718) 540-2143
Mailing address
2555 OCEAN AVE, BROOKLYN, NY 11229-4585
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-289277
NY
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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