Individual
JESSICA BONET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
184 ELDRIDGE ST, NEW YORK, NY 10002-2924
(212) 674-9120
Mailing address
184 ELDRIDGE ST, NEW YORK, NY 10002-2924
(212) 674-9120
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1711209
NY
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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