Individual
DEJA T VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 W 195TH ST APT 3B, BRONX, NY 10468-2573
(718) 866-8276
Mailing address
95 W 195TH ST APT 3B, BRONX, NY 10468-2573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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