Individual
NAIMIBIA DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21410 24TH AVE STE 2, BAYSIDE, NY 11360-2219
(347) 321-4091
Mailing address
13919 225TH ST, LAURELTON, NY 11413-2742
(516) 859-6795
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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