Individual
LILLY BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(732) 204-1635
Mailing address
562 MONTEREY AVE, PELHAM, NY 10803-2512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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