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Individual

ALEXANDRA VERGARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
1 BARSTOW RD, GREAT NECK, NY 11021-3540
(516) 441-5255
Mailing address
1409 117TH ST, COLLEGE POINT, NY 11356-1545
(646) 457-1011

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002086-21
NY

Other

Enumeration date
04/19/2021
Last updated
04/19/2021
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