Individual
ROSA ISELA VARA VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 14TH PL FL 2, ASTORIA, NY 11102-3554
(294) 319-2139
Mailing address
2611 14TH PL FL 2, ASTORIA, NY 11102-3554
(294) 319-2139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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