Individual
ASIA MARIE VELASQUEZ-PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3324 LONG BEACH RD, OCEANSIDE, NY 11572-5048
(516) 620-5809
Mailing address
7117 FRESH POND RD APT 1L, RIDGEWOOD, NY 11385-5969
(347) 622-6331
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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