Individual
IVONIA MARY BYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 SOUTH AVE, STATEN ISLAND, NY 10314-3604
(718) 761-9800
Mailing address
191 YORK AVE, STATEN ISLAND, NY 10301-1329
(718) 448-4088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P102735
NY
104100000X
Social Worker
P102735
NY
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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