Individual
ALEXANDER CHARLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21410 24TH AVE, BAYSIDE, NY 11360-2219
(347) 321-4094
Mailing address
21410 24TH AVE, BAYSIDE, NY 11360-2219
(347) 321-4094
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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