Individual
JAMILA BERMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4222 MONTICELLO.AVE, BRONX, NY 10466
(718) 581-7320
Mailing address
4222 MONTICELLO AVE, BRONX, NY 10466-2112
(718) 581-7320
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
EMBLE
—
Enumeration date
10/03/2018
Last updated
10/03/2018
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