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Individual

MR. MICHAEL DE SENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSED, BCBA

Contact information

Practice address
6058 60TH LN, MASPETH, NY 11378-3537
(917) 353-3321
Mailing address
6058 60TH LN, MASPETH, NY 11378-3537
(917) 353-3321

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000886-01
NY

Other

Enumeration date
06/13/2012
Last updated
01/23/2024
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