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Individual

BRENDA MARIE MASSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, MA

Contact information

Practice address
71 W 23RD ST, 7TH FLOOR, NEW YORK, NY 10010-4102
(212) 576-4116
Mailing address
150 W 82ND ST, APT. 5A, NEW YORK, NY 10024-7301
(917) 579-5833

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/20/2010
Last updated
04/20/2010
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