Individual
ELISANGELA CAETANO FORNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 WESTCHESTER AVE, BRONX, NY 10461-4500
(917) 407-2297
Mailing address
525 W 235TH ST APT 5D, BRONX, NY 10463-1763
(917) 499-5045
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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