Individual
RORYANA CATHERINE THEANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
466 MAIN ST STE LL20, NEW ROCHELLE, NY 10801-6431
(800) 679-3609
Mailing address
1525 BANTAM PL, BRONX, NY 10469-5928
(813) 815-2761
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/03/2021
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