Individual
BRIANNA LUCILLE ELLINGTON AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 LAFAYETTE AVE APT 16H, BRONX, NY 10473-2840
(347) 963-1220
Mailing address
1850 LAFAYETTE AVE APT 16H, BRONX, NY 10473-2840
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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