Individual
TOMIKO HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
(646) 666-3088
Mailing address
134 HAVEN AVE APT 6G, NEW YORK, NY 10032-1127
(908) 894-0403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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