Individual
ALICE TOLLEFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
121 E 30TH ST, NEW YORK, NY 10016-7302
(212) 679-4319
Mailing address
377 E 152ND ST, BRONX, NY 10455-2510
(803) 939-6442
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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