Individual
LILLIAN BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
178 KEARNEY AVE, BRONX, NY 10465-3421
(347) 885-8671
Mailing address
6525 160TH ST APT 3C, FRESH MEADOWS, NY 11365-2540
(347) 885-8671
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
221700000X
Art Therapist
Primary
—
NY
Other
Enumeration date
08/17/2020
Last updated
03/21/2022
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