Individual
ESTHER BAKAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD, MELVILLE, NY 11747-4822
(631) 385-7780
Mailing address
6304 SAUNDERS ST, REGO PARK, NY 11374-2031
(347) 803-3217
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/06/2019
Last updated
01/31/2020
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