Individual
GOLDY PROTOVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
4806 11TH AVE, BROOKLYN, NY 11219-2931
(347) 300-9372
Mailing address
4806 11TH AVE, BROOKLYN, NY 11219-2931
(347) 300-9372
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002224
NY
174400000X
Specialist
252Y00000X
NY
174400000X
Specialist
—
NY
Other
Enumeration date
06/06/2019
Last updated
03/21/2025
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