Individual
CHERYL MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
127 IRVING AVE APT 3, PROVIDENCE, RI 02906-4544
(212) 804-7659
Mailing address
127 IRVING AVE APT 3, PROVIDENCE, RI 02906-4544
(347) 585-7859
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-36877
—
103K00000X
Behavior Analyst
Primary
LBA00185
RI
174400000X
Specialist
—
NY
Other
Enumeration date
02/25/2014
Last updated
09/12/2019
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