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Individual

DAVID NISAN FETMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
1326 E 10TH ST, BROOKLYN, NY 11230-5754
(718) 872-6051
Mailing address
109 CURTIS PL, TOMS RIVER, NJ 08753-4214
(212) 944-5828

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/22/2023
Last updated
08/22/2023
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