Individual
PASHANNA BIRKBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 GUNTHER AVE, BRONX, NY 10469-2730
(347) 366-4904
Mailing address
3406 GUNTHER AVE, BRONX, NY 10469-2730
(347) 366-4904
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2582519
NY
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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