Individual
JUDITH F MCLARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1828 EDENWALD AVE APT 2, BRONX, NY 10466-2248
(347) 331-4462
Mailing address
1828 EDENWALD AVE APT 2, BRONX, NY 10466-2248
(347) 331-4462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1737350231
NY
Other
Enumeration date
08/17/2023
Last updated
09/08/2023
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