Individual
MS. SHERRYROSE JULIA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 WASHINGTON AVE, DEER PARK, NY 11729-6932
(631) 902-2187
Mailing address
128 WASHINGTON AVE, DEER PARK, NY 11729-6932
(631) 902-2187
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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