Individual
MS. SHARON ELISE WEIDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SEIT
Contact information
Practice address
83 RYDER AVE, NORTH BABYLON, NY 11703-2224
(718) 755-0216
Mailing address
83 RYDER AVE, NORTH BABYLON, NY 11703-2224
(718) 755-0216
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
492978041
NY
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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